Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chan Park

Individual provider Massage Therapist · NPI 1255168209

Chan Park is a Massage Therapist in Ellicott City, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

10314B Baltimore National Pike
Ellicott City, MD 21042-2128
Phone: (410) 720-2464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence M06572 (MD)

Record details

NPI number1255168209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 15, 2024

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