Individual
KENZELL CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2708 LEWIS AVE, SUITLAND, MD 20746-1805
(207) 798-0662
Mailing address
2708 LEWIS AVE, SUITLAND, MD 20746-1805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019020700
VA
225700000X
Massage Therapist
Primary
MT200001491
DC
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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