NPI 1699662395

Mike Anderson

Practitioner Massage Therapist Elkridge, MD

Practice location

Address: 7608 Hearthside Way Unit 2027, Elkridge, MD 21075-7609
Phone: (240) 644-7792

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M06875 (MD)

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Registry record

NPI: 1699662395
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2025
Record last updated: 23 Jun 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.