Provider Demographics
NPI:1356770671
Name:BALDWIN, TRAMYKIA
Entity type:Individual
Prefix:
First Name:TRAMYKIA
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7649 CONCORD HEIGHTS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1600
Mailing Address - Country:US
Mailing Address - Phone:702-743-3485
Mailing Address - Fax:702-432-6464
Practice Address - Street 1:7649 CONCORD HEIGHTS ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1600
Practice Address - Country:US
Practice Address - Phone:702-743-3485
Practice Address - Fax:702-432-6464
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner