Stephen Baxter, LMT

Individual provider Active NPI Massage Therapist · Prescott, AZ

NPI 1164319729 · NPPES record last updated Jun 18, 2025

Key facts

NPI
1164319729
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
28992 (AZ)
Practice address
147 N Cortez St # 107
Prescott, AZ 86301-3015
Phone
(928) 778-9446
NPI assigned
Jun 18, 2025
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 28992 AZ Yes

Addresses

Primary practice location

147 N Cortez St # 107
Prescott, AZ 86301-3015

Mailing address

310 N Alarcon St Apt 1
Prescott, AZ 86301-2661
Phone (775) 220-8209

Other providers in Prescott, AZ

All providers in Prescott, AZ · Massage Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.