MYRON KIMBLE-MARVEL
NPI 1578922019
Massage Therapist in Glen Burnie, MD
- Individual
- Male
- Massage Therapist
About MYRON KIMBLE-MARVEL
This page provides the complete NPI Profile along with additional information for Myron Kimble-marvel, a provider established in Glen Burnie, Maryland with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1578922019 assigned on February 2016. The practitioner's primary taxonomy code is 225700000X with license number M05303 (MD). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1578922019 Verify this NPI
- Provider Name
- MYRON KIMBLE-MARVEL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 411 ARBOR DR GLEN BURNIE, MD 21061
- Location Phone
- (410) 274-7038
- Mailing Address
- 411 ARBOR DR GLEN BURNIE, MD 21061
- Mailing Phone
- (410) 274-7038
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-11-2016
- Last Update Date
- 02-11-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- M05303
- License State
- MD
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578922019, enumerated as an "individual" on February 11, 2016.
The provider is located at 411 ARBOR DR GLEN BURNIE, MD 21061 and the phone number is (410) 274-7038.
Massage Therapist with taxonomy code 225700000X.
