Provider Demographics
NPI:1598242000
Name:ADAMS, JANE CHENTE WU (LMT)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:CHENTE WU
Last Name:ADAMS
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 1:6401 WAVELAND WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4402
Mailing Address - Country:US
Mailing Address - Phone:301-802-5848
Mailing Address - Fax:
Practice Address - Street 1:2141 INDUSTRIAL PKWY STE 108
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7856
Practice Address - Country:US
Practice Address - Phone:301-592-0949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM02061225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist