MEDICARE: WILLIAM BAKER SR.

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	33.025778	OH

General Provider Information

NPI Number	:	1952230815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BAKER SR.

Provider Business Mailing Address
First Line	:	4504 CLEARWATER PL UNIT 16
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-1710
Country	:	US
Telephone Number	:	513-268-6901
Fax Number	:

Provider Business Practice Location Address
First Line	:	4504 CLEARWATER PL UNIT 16
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-1710
Country	:	US
Telephone Number	:	513-268-6901
Fax Number	:

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

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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