NPI 1982831061 · live from the CMS NPI Registry
Nicole Banner, LMT
Massage Therapist in Gaithersburg, MD. National Provider Identifier 1982831061, active.
NPI record
| NPI | 1982831061 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 811 Russell Ave Ste B, Gaithersburg, MD 20879 |
| Practice phone | 240-418-8655 |
| Mailing address | 10 Stoney Point Ct, Germantown, MD 20876 |
| Enumerated | June 16, 2009 |
| Last updated | June 16, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M03967 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.