Provider Demographics
NPI:1487345567
Name:BAKER, HALEY LYNNE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:LYNNE
Last Name:BAKER
Suffix:
Gender:F
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 1:412 HANCOCK RD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347-6196
Mailing Address - Country:US
Mailing Address - Phone:423-834-1473
Mailing Address - Fax:
Practice Address - Street 1:632 MORRISON SPRINGS RD STE 302
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-3402
Practice Address - Country:US
Practice Address - Phone:423-778-3358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14866225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist