Individual provider · Type 1 NPI
Susan Kathleen Dennis, LMT
Massage Therapist · Columbia, MD
NPI number
1568055523
Active
Practice location
7130 Mistral Way
Columbia, MD 21045
Mailing address
6725 Ridgecrest Rd
New Market, MD 21774-6663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M06073 (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 1568055523
Susan Kathleen Dennis, LMT's National Provider Identifier is 1568055523, issued on Feb 19, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MD. The record was last updated on Feb 19, 2021.