NPI 1144590217 · live from the CMS NPI Registry
Kyle Andre Julio Baker, LMT
Massage Therapist in Columbia, MD. National Provider Identifier 1144590217, active.
NPI record
| NPI | 1144590217 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 11239 Peartree Way, Apt. I, Columbia, MD 21044 |
| Practice phone | 443-253-6383 |
| Enumerated | January 6, 2012 |
| Last updated | January 6, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MT1343 (DC) |
| Massage Therapist | 225700000X | R01515 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.