Tia J Baxter

NPI #1922480656 in Carlton, Oregon

Provider Information

NPI Number: 1922480656
Entity Type: Individual
Name: Tia J Baxter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jun 18, 2015
Last Updated: Oct 13, 2023

Practice Location

Address: 500 N GILWOOD ST
City: Carlton
State: Oregon
ZIP Code: 97111
Phone: (503) 435-8325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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