Baxter, Theresa Paynter

Baxter, Theresa Paynter is an sole proprietor health care provider with primary practice located at 133 D St Ste J , Davis CA 95616-4695. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Baxter, Theresa Paynter can be contacted via phone (707) 391-6477.

Contact Information

Primary practice address
133 D St Ste J Davis CA 95616-4695
Phone: (707) 391-6477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12659 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 81099 California

Profile Details

NPI number 1518047349
LBN Legal business name Baxter, Theresa Paynter
Credentials PT, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jan 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518047349 NPPES
California Other 0PT126591 MEDICARE PTAN

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