Individual
TERESA S BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2619 W HEADING AVE STE 205, WEST PEORIA, IL 61604-4971
(309) 696-9184
Mailing address
2619 W HEADING AVE STE 205, WEST PEORIA, IL 61604-4971
(309) 696-9184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009948
IL
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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