Individual
JENNIFER BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
150 ELDEN ST, HERNDON, VA 20170-4861
(703) 481-1808
Mailing address
2634 BLACK FIR CT, RESTON, VA 20191-4208
(703) 677-1225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019020445
VA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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