Andrea Baird
Massage Therapist in Boise, ID. Individual provider (NPI-1).
NPI number1346042777
StatusActive
Last updated in NPPESMar 26, 2025
Details
- NPI
- 1346042777
- Entity type
- Individual (NPI-1)
- Name
- Andrea Baird
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2025
- Certification date
- Mar 26, 2025
- Last updated
- Mar 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAS-5219 | ID | Yes |
Practice location
5107 W Overland Rd Ste CBoise, ID 83705-5189
Phone 208-918-4458
Mailing address
12321 W Abram DrBoise, ID 83713-5804
Phone 208-598-2230
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