Cheryl Ann Imperatore, LMT
Individual provider Active NPI Massage Therapist · Boyds, MD
NPI 1962763482 · NPPES record last updated May 31, 2012
Key facts
- NPI
- 1962763482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- M02818 (MD)
- Practice address
- 14411 Chrisman Hill Dr
Boyds, MD 20841-9038 - Phone
- (301) 802-0830
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| M02818 | MD | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M02818 | MD | Yes |
Addresses
Primary practice location
14411 Chrisman Hill Dr
Boyds, MD 20841-9038
Mailing address
14411 Chrisman Hill Dr
Boyds, MD 20841-9038
Phone (301) 802-0830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M02818 | Other | MD | LICENSED MASSAGE THERAPIST, DEPT OF HEALTH AND MENTAL HYGIENE |
Other providers in Boyds, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2012. 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.