NPI 1144022757

Eli Emmanuel Hernandez

Practitioner Massage Therapist Columbia, MD

Practice location

Address: 6304 Woodside CT STE 110, Columbia, MD 21046-3217
Phone: (301) 356-0762
Mailing address: 5817 84th Ave, New Carrollton, MD 20784-2921

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M06293 (MD)

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Registry record

NPI: 1144022757
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2025
Record last updated: 25 Mar 2025

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.