Individual provider · Type 1 NPI
Enatalem Getachew Ejerssa
Massage Therapist · Fort Washington, MD
NPI number
1407422033
Active
Practice location
1215 Palmer Rd Apt 1
Fort Washington, MD 20744-7143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | 0019017981 (VA) |
| Massage Therapist Primary | 225700000X | R02544 (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 1407422033
Enatalem Getachew Ejerssa's National Provider Identifier is 1407422033, issued on Jun 3, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Washington, MD. The record was last updated on Jun 3, 2021.