Doctor Name: | AUSTIN CLAY BAKER |
NPI Number: | 1497194161 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T., M.M.P. |
License Number: | MA68362 |
Business Practice Address: | 4414 Florida National Dr Lakeland, FL - 338131515 |
Business Phone Number: | 8636447838 |
Business Fax Number: | 8636447805 |
Mailing Address: | 4414 Florida National Dr, LAKELAND |
State: | FL |
Postal Code: | 338131515 |
Phone Number: | 8636447838 |
Fax Number: | 8636447805 |
NPI Enumeration Date: | 06/17/2013 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA68362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |