NPI 1780129593 · live from the CMS NPI Registry
Genice Brown
Massage Therapist in Ellicott City, MD. National Provider Identifier 1780129593, active.
NPI record
| NPI | 1780129593 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 8086 Main St, Ellicott City, MD 21043 |
| Practice phone | 410-480-5101 |
| Enumerated | January 3, 2017 |
| Last updated | January 3, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | R00626 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.