Most Relevant Information
Provider Data
| NPI Number: | 1003275785 |
| Provider Name: | KENNETH WASHINGTON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | M05380 |
Most Important Dates
| Enumeration Date: | 02/23/2016 |
| Last Updated: | 02/23/2016 |
Provider Practice Location
5735 ROWANBERRY DR APT 212
ELKRIDGE
MD
210755412
Practice Location Phone/Fax
| Phone: | 4439132074 |
| Fax: |
Provider Mailing Location
6030 MARSHALEE DR # 677
ELKRIDGE
MD
210755987
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |