# NMS WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NMS WELLNESS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609301399
- **Legal business name:** NMS WELLNESS, LLC
- **Authorized official:** KYLE RENE (GENERAL COUNSEL)
- **Authorized official phone:** (425) 244-2840

## Contact information

- **Practice address:** 14014 MARSH PIKE, HAGERSTOWN, MD 21742-1638
- **Practice address phone:** (301) 733-8700
- **Mailing address:** 4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
- **Mailing address phone:** (301) 864-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 05/01/2017
- **Last updated:** 05/01/2017
