Provider Demographics
NPI:1144487604
Name:BAIER, RACHELLE LEIGH (MPT)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:LEIGH
Last Name:BAIER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:RACHELLE
Other - Middle Name:LEIGH
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1769 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:IMLAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48444-1300
Mailing Address - Country:US
Mailing Address - Phone:810-724-0421
Mailing Address - Fax:810-721-0423
Practice Address - Street 1:1769 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444-1300
Practice Address - Country:US
Practice Address - Phone:810-724-0421
Practice Address - Fax:810-721-0423
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501008492225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist