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MR. RANDOLPH TERRY BAKER LMT
NPI 1871962100
Massage Therapist in Suwanee, GA

Active since September 16, 2015
3461 LAWRENCEVILLE SUWANEE RD, SUITE B, SUWANEE, GA 30024(815) 262-8563 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Randolph Terry Baker Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDOLPH TERRY BAKER LMT (NPI 1871962100) is an individual massage therapist in Suwanee, Georgia, licensed in Georgia (MT010074) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1871962100
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. RANDOLPH TERRY BAKERCredential: LMT
Location Address3461 LAWRENCEVILLE SUWANEE RD, SUITE BSuwanee, GA 30024-6428
Mailing Address3461 Lawrenceville Suwanee Rd, Suite BSuwanee, GA 30024-6428 · (815) 262-8563
Phone(815) 262-8563
Sole ProprietorYes
Enumeration DateSeptember 16, 2015
✔ NPI 1871962100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT010074
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

3461 LAWRENCEVILLE SUWANEE RD, Suwanee, GA 30024
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHY BODY AND SOUL
Acupuncturist
3461 LAWRENCEVILLE SUWANEE RD, SUITE B
SUWANEE, GA 30024
Gwinnett County (470) 266-1550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Baker's NPI number?

The NPI number for Randolph Baker is 1871962100. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Randolph Baker located?

Randolph Baker practices at 3461 Lawrenceville Suwanee Rd Suite B, Suwanee, GA 30024. The listed phone number is (815) 262-8563.

What is Randolph Baker's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Randolph Baker was last updated on September 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.