Search › Kentucky › 225100000X
Stephen Baciak, DPT
NPI 1326316001 · on the registry since 2011 · sole proprietor
Practice
- Address
- 650 Joel Drive
Fort Campbell, KY 42223 - Phone
- (555) 321-4567
- Organisation at this address
- Us Army
Nashville Vamc
Department Of Defense
Ach Blanchfield-Ft Campbell
Blanchfiled Army Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 989
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- FL, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky