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Contact Information

LUCAS BAKER
529 SOUTH MAIN ST
WAYNESBORO, TN38485
 Phone: 931-722-2778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LUCAS BAKER · (Male)

NPI # 1356115653
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2023
Last updated 11/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 15188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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