Healthcare Provider Details

I. General information

NPI: 1477627594
Provider Name (Legal Business Name): BAAS & WOOD PHYSICAL THERAPY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22038 OLD 44 DR
PALO CEDRO CA
96073-8707
US

IV. Provider business mailing address

PO BOX 493396
REDDING CA
96049-3396
US

V. Phone/Fax

Practice location:
  • Phone: 530-547-3220
  • Fax:
Mailing address:
  • Phone: 530-221-9952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 17089
License Number StateCA

VIII. Authorized Official

Name: DONALD BAAS
Title or Position: OWNER
Credential:
Phone: 530-221-9952