Provider Demographics
NPI:1104082403
Name:BAIRD, JAMES CRITTENDEN (MPT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CRITTENDEN
Last Name:BAIRD
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5246 OLD MILL RUN
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2600
Mailing Address - Country:US
Mailing Address - Phone:256-328-0023
Mailing Address - Fax:
Practice Address - Street 1:310 S 5TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4224
Practice Address - Country:US
Practice Address - Phone:256-546-8127
Practice Address - Fax:256-547-6720
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3328261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy