Provider Demographics
NPI:1730447335
Name:BAYNES, LINDA FREIHA (ATC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:FREIHA
Last Name:BAYNES
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3394 RAVINE PL
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8714
Mailing Address - Country:US
Mailing Address - Phone:319-560-1490
Mailing Address - Fax:
Practice Address - Street 1:3394 RAVINE PL
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8714
Practice Address - Country:US
Practice Address - Phone:319-560-1490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0043152255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer