SearchIdaho225100000X

Michael Baumgarten, DPT, ATC

NPI 1770950271 · on the registry since 2015 · sole proprietor

Practice

Address
441 S Whitley Dr
Fruitland, ID 83619
Phone
(208) 452-7197
Clinicians at this address
3

Additional practice sites

  • 3819 Grandview Dr, Ogden, UT
  • 4333 Bell Rd Unit 606, Newburgh, IN

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
2020-01-06

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