Individual provider · Type 1 NPI

Chan Park

Massage Therapist · Ellicott City, MD

NPI number 1255168209 Active

Practice location

10314B Baltimore National Pike
Ellicott City, MD 21042-2128

Call (410) 720-2464 Map

Mailing address

4703 Hallowed Strm
Ellicott City, MD 21042-5964

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM06572 (MD)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1255168209

Chan Park's National Provider Identifier is 1255168209, issued on Sep 16, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ellicott City, MD. The record was last updated on Sep 16, 2024.