Organization · Type 2 NPI

Shape Shifters Wellness Studio, LLC

Specialist · Ellicott City, MD

NPI number 1134516586 Active

Practice location

169 Frederick Rd
Ellicott City, MD 21043-4886

Call (443) 386-0818 Map

Fax (410) 465-5522

Mailing address

3614 Old Manse Ct
Ellicott City, MD 21043-4144

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X16510 (MD)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1134516586

Shape Shifters Wellness Studio, LLC's National Provider Identifier is 1134516586, issued on Apr 23, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ellicott City, MD. The record was last updated on Apr 23, 2015.