MEDICARE: MR. STEPHEN MICHAEL CONTI LMT, BA

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	M04045	MD

General Provider Information

NPI Number	:	1366784316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN MICHAEL CONTI LMT, BA

Provider Business Mailing Address
First Line	:	10630 LITTLE PATUXENT PKWY STE 128
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6233
Country	:	US
Telephone Number	:	443-718-0611
Fax Number	:

Provider Business Practice Location Address
First Line	:	10630 LITTLE PATUXENT PKWY STE 128
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6233
Country	:	US
Telephone Number	:	443-718-0611
Fax Number	:

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

Provider Enumeration Date	:	03/17/2013
Last Update Date	:	03/17/2026

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