Individual
MS. JILL L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LMT, CLT
Contact information
Practice address
10410 KENSINGTON PKWY, STE 112, KENSINGTON, MD 20895-2943
(240) 347-1560
Mailing address
10410 KENSINGTON PKWY, STE 112, KENSINGTON, MD 20895-2943
(240) 347-1560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
CMT 0019008229
VA
225700000X
Massage Therapist
M04211
MD
225700000X
Massage Therapist
MT1282
DC
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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