Kim Jenon Baldwin
Individual provider Active NPI Massage Therapist · Rifle, CO
NPI 1063710143 · NPPES record last updated Mar 14, 2011
Key facts
- NPI
- 1063710143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT7258 (CO)
- Practice address
- 201 W 3Rd St
Rifle, CO 81650-2245 - Phone
- (970) 379-6418
- Fax
- (970) 625-5505
- NPI assigned
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT7258 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT7258 | CO | Yes |
Addresses
Primary practice location
201 W 3Rd St
Rifle, CO 81650-2245
Mailing address
PO Box 1022
201 W 3Rd St
Rifle, CO 81650-1022
Phone (970) 379-6418
Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.