NPI 1235617507 · live from the CMS NPI Registry
Yaw P. Baidoo, LMT
Massage Therapist in Woodbridge, VA. National Provider Identifier 1235617507, active.
NPI record
| NPI | 1235617507 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 |
| Practice phone | 703-634-3424 |
| Mailing address | 13842a Outlet Dr # 176, Silver Spring, MD 20904 |
| Enumerated | July 30, 2018 |
| Last updated | June 17, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | Pn1 (ZZ) |
| Nutritionist, Nutrition, Education | 133NN1002X | Pn1 (ZZ) |
| Health Educator | 174H00000X | 813532 (IN) |
| Clinical Exercise Physiologist | 224Y00000X | 813532 (IN) |
| Massage Therapist primary | 225700000X | 0019017773 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.