Individual
MR. MATTHEW DAVID BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
104 SW 6TH ST, GAINESVILLE, FL 32601-6217
(352) 359-0889
Mailing address
4455 SW 34TH ST, APT Q88, GAINESVILLE, FL 32608-7582
(772) 579-0634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50188
FL
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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