MEDICARE: MELINDA E BAKER MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10852	OH

General Provider Information

NPI Number	:	1346322484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA E BAKER MPT

Provider Business Mailing Address
First Line	:	12790 TR 25
Second Line	:
City	:	ARLINGTON
State	:	OH
Zip	:	45814-9702
Country	:	US
Telephone Number	:	419-957-9852
Fax Number	:

Provider Business Practice Location Address
First Line	:	12790 TR 25
Second Line	:
City	:	ARLINGTON
State	:	OH
Zip	:	45814-9702
Country	:	US
Telephone Number	:	419-957-9852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	02/28/2021

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Directions to “ MELINDA E BAKER MPT” Practice Location

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