Provider Demographics
NPI:1598076820
Name:TOUCHSTONE THERAPY & WELLNESS
Entity type:Organization
Organization Name:TOUCHSTONE THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:410-290-4480
Mailing Address - Street 1:10200 OLD COLUMBIA RD STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2364
Mailing Address - Country:US
Mailing Address - Phone:410-290-4480
Mailing Address - Fax:855-300-3999
Practice Address - Street 1:10200 OLD COLUMBIA RD STE C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2364
Practice Address - Country:US
Practice Address - Phone:410-290-4480
Practice Address - Fax:855-300-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18546261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD00291S35Medicare PIN