| Kyle Baker, DPT | |
|
29 Black Coal Drive, Fort Washakie, WY 82514 | |
| (307) 332-7300 | |
| (307) 332-3949 |
| Full Name | Kyle Baker |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 29 Black Coal Drive, Fort Washakie, Wyoming |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780171298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTP-PT-LIC-13199 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wind River Family And Community Health Care | 1850683780 | 36 |
| Provider Name | Wind River Family & Community Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285006379 PECOS PAC ID: 1850683780 Enrollment ID: O20160713000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Baker, DPT 29 Black Coal Drive, Fort Washakie, WY 82514 Ph: (307) 332-7300 | Kyle Baker, DPT 29 Black Coal Drive, Fort Washakie, WY 82514 Ph: (307) 332-7300 |
Miss Dehning Jo Dehning, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Ethete Road, Fort Washakie, WY 82514 Phone: 307-332-3516 Fax: 307-332-9116 | |
Mr. Corey Shane Dahl, PT, MPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Black Coal Drive, Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, WY 82514 Phone: 307-335-5935 | |
Mr. Garth Nelson Foster, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Black Coal Drive, Fort Washakie, WY 82514 Phone: 307-332-7300 |