Provider Demographics
NPI:1821628819
Name:MAIHI, TUTERANGI (LMT)
Entity Type:Individual
Prefix:
First Name:TUTERANGI
Middle Name:
Last Name:MAIHI
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 1:7500 HEARTHSIDE WAY UNIT 201
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6864
Mailing Address - Country:US
Mailing Address - Phone:443-527-1217
Mailing Address - Fax:
Practice Address - Street 1:7500 HEARTHSIDE WAY UNIT 201
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6864
Practice Address - Country:US
Practice Address - Phone:443-527-1217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-19
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM06006225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty