Provider Demographics
NPI:1316017403
Name:BAUMANN, ANDE (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANDE
Middle Name:
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 WESTMILL DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-6133
Mailing Address - Country:US
Mailing Address - Phone:256-536-4777
Mailing Address - Fax:256-539-0105
Practice Address - Street 1:3303 WESTMILL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-6133
Practice Address - Country:US
Practice Address - Phone:256-536-4777
Practice Address - Fax:256-539-0105
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 1133225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL75250OtherBC PROVIDER NUMBER