Provider Demographics
NPI:1164020756
Name:SATORI, BRIGHID ROSE (LMT)
Entity Type:Individual
Prefix:
First Name:BRIGHID
Middle Name:ROSE
Last Name:SATORI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8018 BRIGHTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7932
Mailing Address - Country:US
Mailing Address - Phone:443-966-0976
Mailing Address - Fax:
Practice Address - Street 1:8018 BRIGHTWOOD CT
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-7932
Practice Address - Country:US
Practice Address - Phone:443-966-0976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM05681225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist