MIRACLE MINERALS & MASSAGE NPI 1336750124

NPI Information

  • NPI: 1336750124
  • Provider Name: MIRACLE MINERALS & MASSAGE
  • Classification: Registered Nurse - 163WM1400X
  • Specialization: Nurse Massage Therapist (NMT)
  • Entity Type: Organization
  • Address: 111 S GILMOR ST
    BALTIMORE, MD
    ZIP 21223
  • Phone: (443) 435-1871

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NPI Details

MIRACLE MINERALS & MASSAGE is a nurse massage therapist (nmt) registered nurse in Baltimore, MD. MIRACLE MINERALS & MASSAGE NPI is 1336750124. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

111 S GILMOR ST
BALTIMORE, MD
ZIP 21223-498
Phone: (443) 435-1871

The provider's authorized official is Ayanna Femi Ferebee .
The authorized official title is Owner and has the following contact phone number (443) 435-1871.

The enumeration date for this NPI number is 8/14/2020 and was last updated on 8/14/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WM1400XRegistered NurseNurse Massage Therapist (NMT)Yes

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: 11/21/2025

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