Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN BAKER
Active Sole ProprietorETHAN BAKER is a Occupational Therapy Assistant healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1356727671 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1356727671
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2015 (11.018858231676 yrs)
- Last Updated
- Aug 10, 2015
- License
-
OT-A994 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3801 JOHNSON MILL BLVDFAYETTEVILLE, AR, 727045297Browse AR providers · Browse ZIP 72704
- Phone
- 4798566400
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| KIM KEMERY | COTA | 1134441793 |
| NICOLE DIAZ | COTA | 1235470667 |
| LEAH LINGO | COTA | 1205271426 |
| MRS. STACEY LYNN MCSPADDEN | COTA | 1780029850 |
| LESLIE NICOLE ANDREWS | OTA | 1730527623 |
| JEREMY SCHALSKI | — | 1548690548 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.