Individual
MR. BRENT BAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
755 BOARDMAN CANFIELD RD, SUITE P1, BOARDMAN, OH 44512-4300
(330) 726-7404
(330) 729-9166
Mailing address
755 BOARDMAN CANFIELD RD, SUITE P1, BOARDMAN, OH 44512-4300
(330) 726-7404
(330) 729-9166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.014324-A-B
OH
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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