MEDICARE: JOANNE HOYLE RN, LMT

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	163WM1400X	Nurse Massage Therapist (NMT)	R059757	MD
2	225700000X	Massage Therapist	M03981	MD

General Provider Information

NPI Number	:	1730493511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE HOYLE RN, LMT

Provider Business Mailing Address
First Line	:	6213 BELMONT CIR
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-8038
Country	:	US
Telephone Number	:	301-829-5475
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 LISBON CENTER DR
Second Line	:	SUITE H
City	:	WOODBINE
State	:	MD
Zip	:	21797-8629
Country	:	US
Telephone Number	:	301-829-5475
Fax Number	:

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

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	08/04/2010

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