Individual provider · Type 1 NPI
Ketorus Gooding, M04953
Massage Therapist · Owings Mills, MD
NPI number
1376880054
Active
Practice location
9837 Bale Ct
Owings Mills, MD 21117-6106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M04953 (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 1376880054
Ketorus Gooding, M04953's National Provider Identifier is 1376880054, issued on Jan 15, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Owings Mills, MD. The record was last updated on Jan 15, 2013.