MEDICARE: MS. SAYA BARKDOLL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	R00848	MD

General Provider Information

NPI Number	:	1083485411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAYA BARKDOLL

Provider Business Mailing Address
First Line	:	4813 SAINT ELMO AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4813 SAINT ELMO AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3081
Country	:	US
Telephone Number	:	301-215-6388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	01/15/2024

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