NPI 1568055523 · live from the CMS NPI Registry
Susan Kathleen Dennis, LMT
Massage Therapist in Columbia, MD. National Provider Identifier 1568055523, active.
NPI record
| NPI | 1568055523 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7130 Mistral Way, Columbia, MD 21045 |
| Practice phone | 410-312-9922 |
| Mailing address | 6725 Ridgecrest Rd, New Market, MD 21774 |
| Enumerated | February 19, 2021 |
| Last updated | February 19, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M06073 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.