Katelin Baxa, LMT
Individual provider Active NPI Massage Therapist · Tiffin, OH
NPI 1679019343 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1679019343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 33.023033 (OH)
- Practice address
- 716 W Market St Ste a
Tiffin, OH 44883-2582 - Phone
- (419) 443-8877
- Fax
- (419) 443-8885
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 33.023033 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerrold L Solomon DC Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.023033 | OH | Yes |
Addresses
Primary practice location
716 W Market St Ste a
Tiffin, OH 44883-2582
Mailing address
716 W Market St Ste a
Tiffin, OH 44883-2582
Phone (419) 443-8877
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. 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.