Michael Baumgarten, DPT, ATC

NPI #1770950271 in Fruitland, Idaho

Provider Information

NPI Number: 1770950271
Entity Type: Individual
Name: Michael Baumgarten, DPT, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT, ATC
Enumeration Date: Aug 31, 2015
Last Updated: Jan 6, 2020

Practice Location

Address: 441 S WHITLEY DR
City: Fruitland
State: Idaho
ZIP Code: 83619-2542
Phone: (208) 452-7197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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