Individual provider · Type 1 NPI

Angela M. Ballard, LMT

Massage Therapist · Upper Marlboro, MD

NPI number 1255192597 Active

Practice location

9701 Apollo Dr Ste 220
Upper Marlboro, MD 20774-4783

Mailing address

11294 San Domingo Rd
Mardela Springs, MD 21837-2207

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM06216 (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 1255192597

Angela M. Ballard, LMT's National Provider Identifier is 1255192597, issued on Jan 23, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jan 23, 2024.