Individual
CELESTE M BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
175 MILTON ST N, SAINT PAUL, MN 55104-6527
(651) 644-2787
Mailing address
175 MILTON ST N, SAINT PAUL, MN 55104-6527
(651) 644-2787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
862359
ABMP
MN
Enumeration date
09/25/2013
Last updated
09/25/2013
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