Healthcare Provider Details

I. General information

NPI: 1801729454
Provider Name (Legal Business Name): CHELSEA ADAMS-COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2191 DEFENSE HWY STE 312
CROFTON MD
21114-2941
US

IV. Provider business mailing address

759 204TH ST
PASADENA MD
21122-1531
US

V. Phone/Fax

Practice location:
  • Phone: 443-571-3461
  • Fax:
Mailing address:
  • Phone: 443-571-3461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberM04849
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: