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AMANDA JAYNE BAKER LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1558903112

Individual Registrant:
 AMANDA JAYNE BAKER LMT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
372 BAYVIEW AVE.  UNALASKA, AK 99685-9968 US
Tel: 907-581-3550  Fax: --

Contact information for business:
372 BAYVIEW AVE. PO BOX 208 UNALASKA, AK 99685 US
Tel: --  Fax: --

Registration Information:
NPI: 1558903112
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
AK101374

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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