Individual
COLLEEN JACQUELINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
24 S GLADSTONE AVE, INDIANAPOLIS, IN 46201-4514
(303) 406-8998
Mailing address
24 S GLADSTONE AVE, INDIANAPOLIS, IN 46201-4514
(303) 406-8998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21605738.
IN
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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