MEDICARE: TUTERANGI MAIHI 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	225700000X	Massage Therapist	M06006	MD

General Provider Information

NPI Number	:	1821628819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUTERANGI MAIHI LMT

Provider Business Mailing Address
First Line	:	7500 HEARTHSIDE WAY UNIT 201
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6864
Country	:	US
Telephone Number	:	443-527-1217
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 HEARTHSIDE WAY UNIT 201
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6864
Country	:	US
Telephone Number	:	443-527-1217
Fax Number	:

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

Provider Enumeration Date	:	01/19/2020
Last Update Date	:	01/19/2020

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Directions to “ TUTERANGI MAIHI LMT” Practice Location

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