Provider Demographics
NPI:1205366622
Name:BALDWIN, GINGER (LMT, LMTI, CE)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LMT, LMTI, CE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2903
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-0903
Mailing Address - Country:US
Mailing Address - Phone:254-239-0255
Mailing Address - Fax:888-885-3928
Practice Address - Street 1:415 E FM 2410 RD UNIT 2903
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2938
Practice Address - Country:US
Practice Address - Phone:254-239-0255
Practice Address - Fax:888-885-3928
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
TXMT117863225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMT117863OtherLICENSED MASSAGE THERAPIST
TXMI3364OtherLICENSED MASSAGE THERAPY INSTRUCTOR
TXMT117863OtherLICENSED MASSAGE THERAPIST