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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. You can also correspond with Randolph Terry Baker through the mailing address at 3461 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA - 30024-6428 (mailing address contact number: 815-262-8563).

Location: 3461 Lawrenceville Suwanee Rd, Suwanee, GA, 30024-6428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
3461 Lawrenceville Suwanee Rd
City
Suwanee
State
Georgia
Zip
30024-6428
Phone Number
815-262-8563
Fax Number
person
Provider Business Mailing Address Details
Address
3461 Lawrenceville Suwanee Rd
City
Suwanee
State
Georgia
Zip
30024-6428
Phone Number
815-262-8563
Fax Number
person
Provider's Taxonomy Details 1
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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