Provider Demographics
NPI:1528346343
Name:BAUGHMAN, JESSICA ANN (PT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ANN
Other - Last Name:SCHLAGENHAUFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1541 CENTENNIAL COURT
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609
Mailing Address - Country:US
Mailing Address - Phone:307-235-3910
Mailing Address - Fax:307-266-2891
Practice Address - Street 1:1541 CENTENNIAL COURT
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609
Practice Address - Country:US
Practice Address - Phone:307-235-3910
Practice Address - Fax:307-266-2891
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist