Provider Demographics
NPI:1376374736
Name:BALDWIN, KEVIN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-4312
Mailing Address - Country:US
Mailing Address - Phone:307-258-8760
Mailing Address - Fax:
Practice Address - Street 1:4155 LEGION LN STE 1&2
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-1946
Practice Address - Country:US
Practice Address - Phone:307-259-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2025-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-2243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist