Provider Demographics
NPI:1881098317
Name:BAECHLER, MARY (MS)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:BAECHLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10909 SUMMITVIEW EXT
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-8028
Mailing Address - Country:US
Mailing Address - Phone:509-961-2792
Mailing Address - Fax:
Practice Address - Street 1:10909 SUMMITVIEW EXT
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-8028
Practice Address - Country:US
Practice Address - Phone:509-961-2792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist