Individual provider · Type 1 NPI

Blake Baldwin, PTA

Physical Therapy Assistant · St. Peters, MO

NPI number 1114310158 Active

Practice location

5400 Executive Centre Pkwy
St. Peters, MO 63376-2594

Call (636) 447-1098 Map

Mailing address

2544 Jackson Rd
Wentzville, MO 63385-4202

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2014037263 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1114310158

Blake Baldwin, PTA's National Provider Identifier is 1114310158, issued on Mar 16, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Peters, MO. The record was last updated on Mar 16, 2015.