Provider Demographics
NPI:1225596919
Name:MARSHALL, CAMI CYAN (DPT, PT, ATC)
Entity type:Individual
Prefix:
First Name:CAMI
Middle Name:CYAN
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DPT, PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-0179
Mailing Address - Country:US
Mailing Address - Phone:240-245-5144
Mailing Address - Fax:240-258-2082
Practice Address - Street 1:5600 RIVERTECH CT STE A-B
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1354
Practice Address - Country:US
Practice Address - Phone:240-245-5144
Practice Address - Fax:240-258-2082
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30384225100000X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist