Individual provider · Type 1 NPI

Jerusha Baker, LMT

Massage Therapist · Missoula, MT

NPI number 1366791980 Active

Practice location

2825 Stockyard Rd, Unit H3
Missoula, MT 59808-1503

Mailing address

PO Box 738
Stevensville, MT 59870-6104

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-LMT-LIC-2009 (MT)

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 1366791980

Jerusha Baker, LMT's National Provider Identifier is 1366791980, issued on Aug 29, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Missoula, MT. The record was last updated on Aug 19, 2016.