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NPI Code Detail

MEDICARE: CAROL BAXTER LMT

MEDICARE:   CAROL  BAXTER  LMT
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
1225700000XMassage TherapistMT.0003531CO

General Provider Information

NPI Number : 1407222797
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL BAXTER LMT
Provider Business Mailing Address
First Line : 1665 S WASHINGTON ST
Second Line :
City : DENVER
State : CO
Zip : 80210-2787
Country : US
Telephone Number : 303-646-2942
Fax Number :
Provider Business Practice Location Address
First Line : 1665 S WASHINGTON ST
Second Line :
City : DENVER
State : CO
Zip : 80210-2787
Country : US
Telephone Number : 303-646-2942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2015
Last Update Date : 08/20/2015

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Directions to “ CAROL BAXTER LMT” Practice Location

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