Provider Demographics
NPI:1972787943
Name:BAKER, EMILY K (LMP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:K
Last Name:BAKER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:K
Other - Last Name:BEBBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 ELBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-1047
Mailing Address - Country:US
Mailing Address - Phone:509-782-3130
Mailing Address - Fax:
Practice Address - Street 1:425 ELBERTA AVE
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1047
Practice Address - Country:US
Practice Address - Phone:509-782-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022839225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist