Doctor Name: | MS. TAMARA FAITH BALDWIN-SOARES |
NPI Number: | 1285926733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA39989 |
Business Practice Address: | 1815 S Federal Hwy #15 Boynton Beach, FL - 33435 |
Business Phone Number: | 5617030393 |
Business Fax Number: | |
Mailing Address: | 900 Via Lugano Circle, Unit 203 BOYNTON BEACH |
State: | FL |
Postal Code: | 33436 |
Phone Number: | 5617030393 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2011 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA39989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |