Lewis Nathan Baumgardner, PT, DPT, CSCS

NPI #1720604242 in El Reno, Oklahoma

Provider Information

NPI Number: 1720604242
Entity Type: Individual
Name: Lewis Nathan Baumgardner, PT, DPT, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, CSCS
Enumeration Date: Jun 20, 2020
Last Updated: Jun 20, 2020

Practice Location

Address: 1300 S COUNTRY CLUB RD
City: El Reno
State: Oklahoma
ZIP Code: 73036-5304
Phone: (405) 422-1291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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