Active NPIIndividual providerSole proprietor

Mrs. Gwenn M Bauldry, LMT

Massage Therapist in Eugene, Oregon

NPI Number1568636645
Practice location
132 E Broadway, Ste 420, Eugene, OR 97401-3158
Fax
—
Last updated
April 18, 2008

Mrs. Gwenn M Bauldry, LMT is a Massage Therapist based in Eugene, OR. Mrs. Gwenn M Bauldry, LMT holds the professional credentials of LMT. The NPI number for Mrs. Gwenn M Bauldry, LMT is 1568636645 and holds license No. 10028 (OR). The current practice location address is 132 E Broadway, Ste 420, Eugene, OR 97401-3158 and the office can be reached by phone at 541-221-8689. The NPI was assigned on April 18, 2008 and the record was last updated in NPPES on April 18, 2008.

●Provider Profile Details

NPI Number
1568636645
Provider Name
Gwenn Marie Bauldry
Credential
LMT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Enumeration Date
April 18, 2008
Last Update Date
April 18, 2008
NPI Status
Active

◉Business Practice Location Address

Address
132 E Broadway
Ste 420
Eugene, OR 97401-3158
City
Eugene
State
Oregon
ZIP
97401-3158
Country
US
Phone Number
541-221-8689

Get directions →

✉Business Mailing Address

Address
132 E Broadway
Ste 420
Eugene, OR 97401
City
Eugene
State
OR
ZIP
97401
Phone Number
541-221-8689

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XYes10028OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mrs. Gwenn M Bauldry, LMT?

The NPI number of Mrs. Gwenn M Bauldry, LMT is 1568636645. It was assigned on April 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Gwenn M Bauldry, LMT?

Mrs. Gwenn M Bauldry, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 10028 (OR).

Where does Mrs. Gwenn M Bauldry, LMT practice?

The practice location is 132 E Broadway, Ste 420, Eugene, OR 97401-3158. The office can be reached at 541-221-8689 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568636645 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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