NPI 1063377521 · live from the CMS NPI Registry
Charryse C Palmer
Massage Therapist in Waldorf, MD. National Provider Identifier 1063377521, active.
NPI record
| NPI | 1063377521 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1 Post Office Rd, Waldorf, MD 20602 |
| Practice phone | 301-870-4277 |
| Mailing address | 11304 Golden Eagle Pl, Waldorf, MD 20603 |
| Enumerated | December 17, 2025 |
| Last updated | December 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M04908 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.