# ANNAPOLIS LYMPHEDEMA CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Annapolis Lymphedema and Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396805008
- **Authorized official:** MRS. AMY D KINDER PT (PRESIDENT)
- **Authorized official phone:** (410) 266-8010

## Contact information

- **Practice address:** 2525 RIVA RD STE 130, ANNAPOLIS, MD 21401-7437
- **Practice address phone:** (410) 266-8010
- **Practice address fax:** (443) 782-2498
- **Mailing address:** 2525 RIVA RD STE 130, ANNAPOLIS, MD 21401-7437
- **Mailing address phone:** (410) 266-8010
- **Mailing address fax:** (443) 782-2498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 03/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3010823 | AETNA HEALTHCARE | MD |
| 05 | — | 406989700 | — | MD |
| 01 | — | 50458 | MAMSI HEALTH CARE | MD |
| 01 | — | KBY1AN | BLUE SHIELD OF MARYLAND | MD |
| 01 | — | S441 | BLUE SHIELD OF DC | MD |