Individual provider · Type 1 NPI

Anny Johanna Mantilla, LMT

Massage Therapist · Frederick, MD

NPI number 1821680356 Active

Practice location

198 Thomas Johnson Dr Ste 8
Frederick, MD 21702-4442

Call (301) 732-3304 Map

Fax (301) 228-3904

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM06203 (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 1821680356

Anny Johanna Mantilla, LMT's National Provider Identifier is 1821680356, issued on Feb 5, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Frederick, MD. The record was last updated on Feb 5, 2021.