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MIND OVER MATTER HEALTH SERVICES INC NPI 1558889857


NPI Information

NPI: 1558889857
Provider Name: MIND OVER MATTER HEALTH SERVICES, INC
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
616 OLD EDMONDSON AVE. STE. 4
BALTIMORE, MD
ZIP 21228
Phone: (443) 405-1095
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MIND OVER MATTER HEALTH SERVICES, INC is a sports physical therapist in Baltimore, MD. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. MIND OVER MATTER HEALTH SERVICES, INC NPI is 1558889857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

616 OLD EDMONDSON AVE. STE. 4
BALTIMORE, MD
ZIP 21228
Phone: (443) 405-1095

The provider's authorized official is Asia Maria Johnson .
The authorized official title is Ceo and has the following contact phone number (410) 982-1353.

The enumeration date for this NPI number is 9/7/2017 and was last updated on 9/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSportsLC2133MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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