NPI 1780270876 · live from the CMS NPI Registry
Judith Acosta, LMT
Massage Therapist in Annapolis, MD. National Provider Identifier 1780270876, active.
NPI record
| NPI | 1780270876 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 175 Woods Drive, Annapolis, MD 21403 |
| Practice phone | 410-212-5511 |
| Mailing address | 175 Woods Dr, Annapolis, MD 21403 |
| Enumerated | December 14, 2020 |
| Last updated | December 14, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M00385 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.