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MICHELLE ELIZABETH BAKER LMP, NCTMB

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

Registrant NPI Number: 1366737488

Individual Registrant:
 MICHELLE ELIZABETH BAKER LMP, NCTMB
Gender: F
Not Sole Proprietor

Location and contact information for practice:
700 S MAIN ST GRITMAN MEDICAL CENTER MOSCOW, ID 83843-3056 US
Tel: 208-883-6361  Fax: 208-883-6452

Contact information for business:
600 RIDGE RD  MOSCOW, ID 83843-2690 US
Tel: --  Fax: --

Registration Information:
NPI: 1366737488
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
WAMA60231085

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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