Search › Idaho › 225100000X
Tyler Baxter, DPT, OCS, ATC, CSCS
NPI 1568599215 · on the registry since 2007
Practice
- Address
- 1812 N Lakewood Dr Ste 100
Coeur D Alene, ID 83814 - Phone
- (208) 966-4476
- Fax
- (208) 966-4475
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-11
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 Idaho