Healthcare Provider Details

I. General information

NPI: 1669387031
Provider Name (Legal Business Name): ALLISON BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2163 CLAREMONT AVE
ASHLAND OH
44805-3547
US

IV. Provider business mailing address

580 COUNTY ROAD 1754
JEROMESVILLE OH
44840-9700
US

V. Phone/Fax

Practice location:
  • Phone: 419-281-1330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number013065
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: