Healthcare Provider Details

I. General information

NPI: 1871498188
Provider Name (Legal Business Name): HEALTHY LAND SPA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10324 BALTIMORE NATIONAL PIKE # B
ELLICOTT CITY MD
21042-2128
US

IV. Provider business mailing address

10324 BALTIMORE NATIONAL PIKE # B
ELLICOTT CITY MD
21042-2128
US

V. Phone/Fax

Practice location:
  • Phone: 443-774-8265
  • Fax:
Mailing address:
  • Phone: 443-774-8265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JINHUA BAI
Title or Position: OWNER
Credential:
Phone: 443-774-8265