Provider Demographics
NPI:1386389617
Name:BAKER, ZACHARY REID
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:REID
Last Name:BAKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 TELEPHONE RD STE 117
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5672
Mailing Address - Country:US
Mailing Address - Phone:805-642-7033
Mailing Address - Fax:805-852-1906
Practice Address - Street 1:4601 TELEPHONE RD STE 117
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5672
Practice Address - Country:US
Practice Address - Phone:805-642-7033
Practice Address - Fax:805-852-1906
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner