NPI 1356820294

Ian Staggers

Practitioner Massage Therapist Hyattsville, MD

Practice location

Address: 3501 Hamilton St STE 205-B, Hyattsville, MD 20782-3961
Phone: (301) 741-8075
Mailing address: 8978 Watchlight CT, Columbia, MD 21045-4223

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M04425 (MD)

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Registry record

NPI: 1356820294
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2018
Record last updated: 10 Aug 2018

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.