Angela M Ballard, LMT
Massage Therapist in Upper Marlboro, MD. Individual provider (NPI-1).
NPI number1255192597
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1255192597
- Entity type
- Individual (NPI-1)
- Name
- Angela M Ballard
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2024
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | M06216 | MD | Yes |
Practice location
9701 Apollo Dr Ste 220Upper Marlboro, MD 20774-4783
Phone 410-713-2194
Mailing address
11294 San Domingo RdMardela Springs, MD 21837-2207
Phone 410-726-5329
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All 14 Massage Therapist providers in Upper Marlboro · All 2,454 providers in Upper Marlboro
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