NPI 1689084436 · live from the CMS NPI Registry
Balanced Body Massage Group
Massage Therapist in Upper Marlboro, MD. National Provider Identifier 1689084436, active.
NPI record
| NPI | 1689084436 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 9500 Marlboro Pike, Suite 12, Upper Marlboro, MD 20772 |
| Practice phone | 301-702-8555 |
| Enumerated | May 2, 2014 |
| Last updated | May 2, 2014 |
| Authorized official | Shadonne Harris, Licensed Massage Therapist |
| Other names | E-3 Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 3409 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.