Taylor Marie Baldwin
Individual provider Active NPI Massage Therapist · Lewiston, ID
NPI 1760028443 · NPPES record last updated Nov 18, 2019
Key facts
- NPI
- 1760028443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAST-3986 (ID)
- Practice address
- 2525 8TH St # 48
Lewiston, ID 83501-4266 - Phone
- (509) 597-7077
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MAST-3986 | ID | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAST-3986 | ID | Yes |
Addresses
Primary practice location
2525 8TH St # 48
Lewiston, ID 83501-4266
Mailing address
2525 8TH St # 48
Lewiston, ID 83501-4266
Phone (509) 597-7077
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. 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.