NPI 1003262171 · live from the CMS NPI Registry
Bernice Burroughs, LMT
Massage Therapist in Solomons, MD. National Provider Identifier 1003262171, active.
NPI record
| NPI | 1003262171 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 90 Holiday Drive, Suite D3, Solomons, MD 20688 |
| Practice phone | 410-474-4841 |
| Mailing address | 4650 Hallowing Point Rd, Prince Frederick, MD 20678 |
| Enumerated | May 9, 2016 |
| Last updated | May 9, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M05618 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.