NPI 1720604242 · live from the CMS NPI Registry
Lewis Nathan Baumgardner, PT, DPT, CSCS
Physical Therapist in El Reno, OK. National Provider Identifier 1720604242, active.
NPI record
| NPI | 1720604242 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1300 S Country Club Rd, El Reno, OK 73036 |
| Practice phone | 405-422-1291 |
| Enumerated | June 20, 2020 |
| Last updated | June 20, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5840 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.