NPI 1518615293 · live from the CMS NPI Registry
Bisrat Abebe
Massage Therapist in Columbia, MD. National Provider Identifier 1518615293, active.
NPI record
| NPI | 1518615293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7130 Minstrel Way, Columbia, MD 21045 |
| Practice phone | 410-312-9922 |
| Mailing address | 10905 Baskerville Rd, Reisterstown, MD 21136 |
| Enumerated | March 12, 2022 |
| Last updated | March 12, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | R02041 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.