Individual provider · Type 1 NPI

Keisha Lorraine Sumner, LMT

Massage Therapist · Waldorf, MD

NPI number 1629900592 Active

Practice location

3195 Old Washington Rd Ste 216
Waldorf, MD 20602-3201

Call (240) 230-2786 Map

Mailing address

PO Box 1142
Bryans Road, MD 20616-1142

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM06878 (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 1629900592

Keisha Lorraine Sumner, LMT's National Provider Identifier is 1629900592, issued on Jun 2, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waldorf, MD. The record was last updated on Jun 2, 2026.