Kera Baker, LMT
Massage Therapist in Atlanta, GA. Individual provider (NPI-1).
NPI number1104372317
StatusActive
Last updated in NPPESAug 28, 2016
Details
- NPI
- 1104372317
- Entity type
- Individual (NPI-1)
- Name
- Kera Baker
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2016
- Last updated
- Aug 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT007690 | GA | Yes |
Practice location
1397 B Carroll Drive NwAtlanta, GA 30318
Phone 407-758-7700
Mailing address
1397b Carroll Drive NwAtlanta, GA 30318
Phone 407-758-7700
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