NPI 1265289706 · live from the CMS NPI Registry
Olivia Eva Brown
Massage Therapist in Upper Marlboro, MD. National Provider Identifier 1265289706, active.
NPI record
| NPI | 1265289706 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 9701 Apollo Dr Ste 220, Upper Marlboro, MD 20774 |
| Practice phone | 240-620-6902 |
| Mailing address | 5605 S Marwood Blvd Apt 233, Upper Marlboro, MD 20772 |
| Enumerated | May 2, 2024 |
| Last updated | May 2, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MO5394 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.