NPI 1013376037

Renewed Being

Organisation Massage Therapist Elkridge, MD

Practice location

Address: 5735 Rowanberry Dr APT 212, Elkridge, MD 21075-5412
Phone: (410) 234-2050
Mailing address: 6030 Marshalee Dr # 677, Elkridge, MD 21075-5987

Authorised official

Name: Kenneth Rodney Washington
Title: Lmt
Phone: (443) 913-2074

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M05380 (MD)

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Registry record

NPI: 1013376037
Entity type: Organization
NPI issued: 18 Feb 2016
Record last updated: 18 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.