Provider Demographics
NPI:1124267083
Name:KESLER PHYSICALMASSAGE LLC
Entity type:Organization
Organization Name:KESLER PHYSICALMASSAGE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KESLER
Authorized Official - Suffix:
Authorized Official - Credentials:MTH, PT
Authorized Official - Phone:301-602-3551
Mailing Address - Street 1:8828 BRIERLY RD
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4752
Mailing Address - Country:US
Mailing Address - Phone:301-602-3551
Mailing Address - Fax:
Practice Address - Street 1:8828 BRIERLY RD
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4752
Practice Address - Country:US
Practice Address - Phone:301-602-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy