NPI 1073707808 · live from the CMS NPI Registry
Ahmed E Abdallah, NCTMB
Massage Therapist in Columbia, MD. National Provider Identifier 1073707808, active.
NPI record
| NPI | 1073707808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7270 Cradlerock Way, Suite 102, Columbia, MD 21045 |
| Practice phone | 410-908-9093 |
| Mailing address | 8629 Bali Rd, Ellicott City, MD 21043 |
| Enumerated | September 5, 2007 |
| Last updated | September 5, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist, Research Data Abstracter/Coder | 1744R1103X | 2003140 (MD) |
| Massage Therapist primary | 225700000X | R00702 (MD) |
| Massage Therapist | 225700000X | MT1014 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.