Individual
ANNE MARIE BAGGENSTOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 PINE ST STE G, SANDPOINT, ID 83864-1658
(208) 502-0728
Mailing address
736 S 1ST ST, ROCKFORD, WA 99030-9787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4283
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAS-4283
LMT
ID
Enumeration date
03/17/2021
Last updated
03/17/2021
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