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NPI Code Detail

MEDICARE: ASHEEBA BAKSH PT, DPT

MEDICARE: ASHEEBA BAKSH PT, DPT
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
1225100000XPhysical TherapistCP035064TGA
2225100000XPhysical Therapist8340SC

General Provider Information

NPI Number : 1679022727
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHEEBA BAKSH PT, DPT
Provider Business Mailing Address
First Line : 690 MEDICAL PARK DR
Second Line :
City : AIKEN
State : SC
Zip : 29801-5385
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 SOCIETY HILL DR
Second Line :
City : AIKEN
State : SC
Zip : 29803-1754
Country : US
Telephone Number : 803-226-0136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2016
Last Update Date : 04/24/2026

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Directions to “ ASHEEBA BAKSH PT, DPT” Practice Location

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