Eric Newdom, LMT
Individual provider Active NPI Massage Therapist · Boonsboro, MD
NPI 1215735543 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1215735543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- M04786 (MD)
- Practice address
- 27 S Main St
Boonsboro, MD 21713-1236 - Phone
- (301) 432-4940
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M04786 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Health Associates | Past |
Accepting new patients | |
| Boonsboro Wellness Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M04786 | MD | Yes |
Addresses
Primary practice location
27 S Main St
Boonsboro, MD 21713-1236
Mailing address
603 W Patrick St Ste B
Frederick, MD 21701-4090
Phone (301) 620-1414
Other providers in Boonsboro, MD
- Candice Michael
- Monica Larraine Morris
- Peter Mukudzavhu
- Katelyn Myers
- National Health Rehabilitation LLC
- Novus Pain Management - Maryland, LLC
- Jenna Pepple
- Melissa Ann Phillips
- Jennifer Lee Plantz
- Pleasant Valley Primary Care
All providers in Boonsboro, MD · Massage Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.