Individual
BETH IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2288 BLUE WATER BLVD STE 440, ODENTON, MD 21113-3312
(410) 674-7403
Mailing address
1114 JASPER CT, CROFTON, MD 21114-1658
(646) 327-5910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
RO1833
MD
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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