Most Relevant Information
Provider Data
| NPI Number: | 1003015645 |
| Provider Name: | STACY MICHELLE BAKER OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | KY-R3387 |
Most Important Dates
| Enumeration Date: | 07/13/2007 |
| Last Updated: | 07/13/2007 |
Provider Practice Location
509 N CARRIER ST
MORGANFIELD
KY
424371201
Practice Location Phone/Fax
| Phone: | 2703893515 |
| Fax: | 2703894706 |
Provider Mailing Location
5149 HOUSEBRIDGE RD
CORYDON
KY
424069765
Provider Mailing Phone/Fax
| Phone: | 2705333525 |
| Fax: |