MEDICARE: MS. BETH ALISA BARON SEP, LMT, CMTPT, CPT

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	174400000X	Specialist
2	225700000X	Massage Therapist	17315	MA

General Provider Information

NPI Number	:	1710215298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETH ALISA BARON SEP, LMT, CMTPT, CPT

Provider Business Mailing Address
First Line	:	27 HIGH ST
Second Line	:
City	:	SHELBURNE FALLS
State	:	MA
Zip	:	01370-1205
Country	:	US
Telephone Number	:	413-432-9442
Fax Number	:	510-473-3736

Provider Business Practice Location Address
First Line	:	27 HIGH ST
Second Line	:
City	:	SHELBURNE FALLS
State	:	MA
Zip	:	01370-1205
Country	:	US
Telephone Number	:	413-432-9442
Fax Number	:	510-473-3736

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

Provider Enumeration Date	:	11/22/2009
Last Update Date	:	08/26/2025

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