Mr. Randolph Terry Baker, LMT - Suwanee, GA

Mr. Randolph Terry Baker, LMT

Massage Therapist in Suwanee, Georgia

NPI 1871962100

Randolph Terry Baker is a Massage Therapist based in Suwanee, GA. Randolph Terry Baker practices in Suwanee, GA and has the professional credentials of LMT. The NPI Number for Randolph Terry Baker is 1871962100 and holds a License No. MT010074 (Georgia).

The current practice location address for Randolph Terry Baker is 3461 Lawrenceville Suwanee Rd, Suwanee, GA and can be reached out via phone at 815-262-8563.

Location: 3461 Lawrenceville Suwanee Rd, Suwanee, GA, 30024-6428

NPI Number

1871962100

Provider Name

Randolph Terry Baker

Credential

LMT

Provider Entity Type

Individual

Gender

Male

Address

3461 Lawrenceville Suwanee Rd, Suwanee, GA, 30024-6428

Phone Number

815-262-8563

Fax Number

Provider Enumeration Date

09/16/2015

Last Update Date

03/09/2024

Address

3461 Lawrenceville Suwanee Rd

City

Suwanee

State

Georgia

Zip

30024-6428

Phone Number

815-262-8563

Fax Number

Address

3461 Lawrenceville Suwanee Rd

City

Suwanee

State

Georgia

Zip

30024-6428

Phone Number

815-262-8563

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

MT010074 (Georgia)

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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