Wellformed AI

NPI 1376302422 · live from the CMS NPI Registry

Alicia Allen

Massage Therapist in Columbia, MD. National Provider Identifier 1376302422, active.

NPI record

NPI1376302422 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location7135 Minstrel Way Ste 204, Columbia, MD 21045
Practice phone240-653-7210
Mailing address1229 Linkside Dr, Baltimore, MD 21234
EnumeratedMarch 18, 2024
Last updatedMarch 18, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000XR01651 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.