Healthcare Provider Details

I. General information

NPI: 1508796178
Provider Name (Legal Business Name): EMILY SIEGEL HEALTH PRACTICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7326 UNIVERSITY AVE
GLEN ECHO MD
20812-1011
US

IV. Provider business mailing address

7326 UNIVERSITY AVE
GLEN ECHO MD
20812-1011
US

V. Phone/Fax

Practice location:
  • Phone: 301-320-4180
  • Fax:
Mailing address:
  • Phone: 301-320-4180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EMILY SIEGEL
Title or Position: EXECUTIVE DIRECTOR
Credential: LMT
Phone: 301-320-4180