OrganizationActive
Balanced Body Massage Group
NPI 1689084436 · Massage Therapist · Upper Marlboro, MD
Provider details
- NPI number
- 1689084436
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Shadonne Harris, Licensed Massage Therapist
- License
- 3409 (MD)
Practice location
9500 Marlboro Pike
Suite 12
Upper Marlboro, MD 20772
Phone: (301) 702-8555
Fax: (301) 702-8005
Mailing address
9500 Marlboro Pike
Upper Marlboro, MD 20772
Registry dates
- Enumerated
- 2014-05-02
- Last updated
- 2014-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.