NPI 1023388758

Martha Johnson

Practitioner Massage Therapist Glenn Dale, MD

Practice location

Address: 12200 Annapolis Rd Suite 221, Glenn Dale, MD 20769-9182
Phone: (301) 352-2991

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M04338 (MD)

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Registry record

NPI: 1023388758
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2012
Record last updated: 22 Feb 2012

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.