Individual
KEVIN CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
5016 DORSEY HALL DR STE 102, ELLICOTT CITY, MD 21042-7824
(410) 997-1808
Mailing address
5016 DORSEY HALL DR STE 102, ELLICOTT CITY, MD 21042-7824
(410) 997-1808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05414
MD
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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