Individual
MS. MIRANDA MAE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22323 OLD GEORGETOWN RD, SMITHSBURG, MD 21783-1607
(301) 730-8575
Mailing address
22323 OLD GEORGETOWN RD, SMITHSBURG, MD 21783-2949
(301) 730-8575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06501
MD
Other
Enumeration date
11/17/2019
Last updated
02/28/2024
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