Tracie L Baxter, L.M.T
Individual provider Active NPI Massage Therapist · Whitney Point, NY
NPI 1962705855 · NPPES record last updated Dec 15, 2010
Key facts
- NPI
- 1962705855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 014189-1 (NY)
- Practice address
- 260 Kales Hill Rd
Whitney Point, NY 13862-1622 - Phone
- (607) 692-3961
- Fax
- (607) 692-2514
- NPI assigned
- Dec 15, 2010
- 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 |
|---|---|---|---|
| 014189-1 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 014189-1 | NY | Yes |
Addresses
Primary practice location
260 Kales Hill Rd
Whitney Point, NY 13862-1622
Mailing address
260 Kales Hill Rd
Whitney Point, NY 13862-1622
Phone (607) 743-4243
Other providers in Whitney Point, NY
- Michael Angelo Baxter
- Sara Baxter
- Jennifer Berry
- Jessica Burke
- Anne Mary Clerkin
- Sarah Lynn Cotcamp
- Brandilynne Craver
All providers in Whitney Point, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2010. 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.