National Provider Identifier

Colleen Baxter

Colleen Baxter is listed in the NPPES registry with a primary specialty of Massage Therapist in Fairport, NY and a listed phone number of (585) 346-1539.

NPI 1952886533Fairport, NYMassage Therapist

Profile Overview

NPI
1952886533
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
September 28, 2018
Last Updated
September 28, 2018

Practice Location

  • 142 Village Lndg
  • Fairport, NY 14450-1804

Phone: (585) 346-1539

Mailing Address

  • 35 Treetop Dr
  • Fairport, NY 14450-3358

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1952886533
Entity Type
Individual
Last Name
Baxter
First Name
Colleen
Mailing Street Address
35 Treetop Dr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3358
Mailing Country
US
Practice Street Address
142 Village Lndg
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1804
Practice Country
US
Practice Phone
(585) 346-1539
Enumeration Date
September 28, 2018
Last Updated
September 28, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)