Provider Demographics
NPI:1003087396
Name:BAKER, KRISTIN MARIE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MARIE
Last Name:BAKER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MRS
Other - First Name:KRISTIN
Other - Middle Name:MARIE
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ATC
Mailing Address - Street 1:201 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1912
Mailing Address - Country:US
Mailing Address - Phone:412-392-3816
Mailing Address - Fax:412-392-4780
Practice Address - Street 1:201 WOOD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1912
Practice Address - Country:US
Practice Address - Phone:412-392-3816
Practice Address - Fax:412-392-4780
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0042402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer