Healthcare Provider Details

I. General information

NPI: 1962662999
Provider Name (Legal Business Name): RACHEL BAIRD C.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 COURT ST
MIDDLEBURY VT
05753-1419
US

IV. Provider business mailing address

50 COURT ST
MIDDLEBURY VT
05753-1419
US

V. Phone/Fax

Practice location:
  • Phone: 800-249-3562
  • Fax:
Mailing address:
  • Phone: 800-249-3562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: