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Taylor Marie Baldwin

Massage Therapist in Lewiston, ID. Individual provider (NPI-1).

NPI number1760028443
StatusActive
Last updated in NPPESNov 18, 2019

Details

NPI
1760028443
Entity type
Individual (NPI-1)
Name
Taylor Marie Baldwin
Sex
Female
Sole proprietor
No
Enumeration date
Nov 18, 2019
Last updated
Nov 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMAST-3986IDYes

Practice location

2525 8th St # 48
Lewiston, ID 83501-4266

Phone 509-597-7077

Mailing address

2525 8th St # 48
Lewiston, ID 83501-4266

Phone 509-597-7077

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