Ezell Kent Valid NPI
Individual provider · Massage Therapist · Severna Park, MD
- NPI
- 1336097658
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- R01522 (MD)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2026-03-20
- Last updated
- 2026-03-20
Practice location
692b Ritchie Hwy Ste 104
Severna Park, MD 21146-3971
(443) 474-3631