MEDICARE: DENISE ANN BAER CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist		MN

General Provider Information

NPI Number	:	1649490921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE ANN BAER CMT

Provider Business Mailing Address
First Line	:	120 N AUGUSTA CT STE 109
Second Line	:
City	:	MANKATO
State	:	MN
Zip	:	56001-7719
Country	:	US
Telephone Number	:	507-469-8741
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 N AUGUSTA CT STE 109
Second Line	:
City	:	MANKATO
State	:	MN
Zip	:	56001-7719
Country	:	US
Telephone Number	:	507-469-8741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	03/20/2020

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