Provider Demographics
NPI:1477622694
Name:NAYLOR, JENNIFER BAIZE (CMT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:BAIZE
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 S 4TH ST W
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-2634
Mailing Address - Country:US
Mailing Address - Phone:406-721-9080
Mailing Address - Fax:
Practice Address - Street 1:1900 S RESERVE ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6455
Practice Address - Country:US
Practice Address - Phone:406-721-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist