Individual
AMANDA JO BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
319 3RD ST SE, PUYALLUP, WA 98372-3203
(253) 840-2222
Mailing address
1102 205TH ST E, SPANAWAY, WA 98387
(253) 205-1886
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60018796
WA
Other
Enumeration date
08/27/2008
Last updated
02/23/2015
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