MEDICARE: ABIGAIL BAIRD 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
1	225700000X	Massage Therapist	142012954701	UT

General Provider Information

NPI Number	:	1568322758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL BAIRD LMT

Provider Business Mailing Address
First Line	:	4657 W AIRE DR
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-7805
Country	:	US
Telephone Number	:	801-857-5652
Fax Number	:

Provider Business Practice Location Address
First Line	:	1787 E FORT UNION BLVD STE 101
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-2868
Country	:	US
Telephone Number	:	385-526-3925
Fax Number	:

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

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/12/2025

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