NPI 1255192597 · live from the CMS NPI Registry
Angela M Ballard, LMT
Massage Therapist in Upper Marlboro, MD. National Provider Identifier 1255192597, active.
NPI record
| NPI | 1255192597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 9701 Apollo Dr Ste 220, Upper Marlboro, MD 20774 |
| Practice phone | 410-713-2194 |
| Mailing address | 11294 San Domingo Rd, Mardela Springs, MD 21837 |
| Enumerated | January 23, 2024 |
| Last updated | January 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M06216 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.