Individual
MS. CHRISTIE M. BAISAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
618 JERICHO RD, LA GRANGE, KY 40031-1238
(502) 645-7295
Mailing address
618 JERICHO RD, LA GRANGE, KY 40031-1238
(502) 645-7295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY0022
KY
Other
Enumeration date
10/06/2005
Last updated
10/09/2008
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