=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174428445
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JINHUA BAI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2026
-----------------------------------------------------
Last Update Date | 10/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10324 BALTIMORE NATIONAL PIKE # B
-----------------------------------------------------
City | ELLICOTT CITY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21042-2128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-774-8265
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10324 BALTIMORE NATIONAL PIKE # B
-----------------------------------------------------
City | ELLICOTT CITY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21042-2128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-774-8265
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | M07251
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------