Individual
ANITA C BAKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLT, LMT
Contact information
Practice address
34406 N 27TH DR, SUITE 140/RM113, BLDG. 6, PHOENIX, AZ 85085-6082
(623) 223-1277
Mailing address
5742 E PERDIDO DR, CAVE CREEK, AZ 85331-9168
(623) 223-1277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-05867
AZ
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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