Individual provider · Type 1 NPI
Kyle Andre Julio Baker, LMT
Massage Therapist · Columbia, MD
NPI number
1144590217
Active
Practice location
11239 Peartree Way, Apt. I
Columbia, MD 21044-4342
Fax (443) 864-4633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT1343 (DC) |
| Massage Therapist | 225700000X | R01515 (MD) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1144590217
Kyle Andre Julio Baker, LMT's National Provider Identifier is 1144590217, issued on Jan 6, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MD. The record was last updated on Jan 6, 2012.