NPI 1619228285 · live from the CMS NPI Registry
Kirsten Dayle Bodnarchuk, LMT
Massage Therapist in Annapolis, MD. National Provider Identifier 1619228285, active.
NPI record
| NPI | 1619228285 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 31 Old Solomons Island Rd, Annapolis, MD 21401 |
| Practice phone | 410-990-0111 |
| Mailing address | 91 Barrensdale Dr, Severna Park, MD 21146 |
| Enumerated | September 24, 2012 |
| Last updated | September 24, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M04429 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.