Individual
MS. TATIANA HELENE KETTENHOFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
692 RITCHIE HWY STE 104, SEVERNA PARK, MD 21146-3919
(443) 474-3631
(410) 874-0131
Mailing address
692 RITCHIE HWY STE 104, SEVERNA PARK, MD 21146-3919
(443) 474-3631
(410) 874-0131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05528
MD
Other
Enumeration date
04/19/2017
Last updated
09/07/2022
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