Provider Demographics
NPI:1760474878
Name:BAKER, CHRISTOPHER C (DPT, DC, MS, DACBN)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:C
Last Name:BAKER
Suffix:
Gender:M
Credentials:DPT, DC, MS, DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1765
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78667-1765
Mailing Address - Country:US
Mailing Address - Phone:512-396-5122
Mailing Address - Fax:512-396-5123
Practice Address - Street 1:2550 HUNTER RD
Practice Address - Street 2:SUITE 1104
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5263
Practice Address - Country:US
Practice Address - Phone:512-396-5122
Practice Address - Fax:512-396-5123
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5841111N00000X, 133N00000X
TX1173060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197596301Medicaid
U450001Medicare UPIN
603975Medicare ID - Type Unspecified
TX8J6995Medicare PIN