=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891468880
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BAYLEE STURM PT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2021
-----------------------------------------------------
Last Update Date | 02/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 815 TUCKER RD STE C
-----------------------------------------------------
City | TEHACHAPI
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93561-2513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-616-1700
-----------------------------------------------------
Fax | 661-616-9199
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3400 CALLOWAY DR STE 603
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93312-2514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-377-1700
-----------------------------------------------------
Fax | 661-616-9199
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 10645286-4701
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT307417
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------