CHAN PARK
NPI 1255168209
Massage Therapist in Ellicott City, MD

Active since September 16, 2024
10314B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042(410) 720-2464 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chan Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAN PARK (NPI 1255168209) is an individual massage therapist in Ellicott City, Maryland, licensed in Maryland (M06572) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1255168209
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCHAN PARK
Location Address10314B BALTIMORE NATIONAL PIKEEllicott City, MD 21042-2128
Mailing Address4703 Hallowed StrmEllicott City, MD 21042-5964
Sole ProprietorYes
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 15, 2024
NPI 1255168209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in MD · M06572
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
10314B BALTIMORE NATIONAL PIKE, Ellicott City, MD 21042

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chan Park's NPI number?

The NPI number for Chan Park is 1255168209. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Chan Park located?

Chan Park practices at 10314B Baltimore National Pike, Ellicott City, MD 21042. The listed phone number is (410) 720-2464.

What is Chan Park's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Chan Park was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.