Nannette M Boulais in Lady Lake - Massage Therapist
Nannette M Boulais - NPI 1093870404
Nannette M Boulais is a Massage Therapist in Lady Lake, Florida. Nannette M Boulais practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Nannette M Boulais is 1093870404. The last update date is 2007-07-08.
Nannette M Boulais's current location address is 809 Truman Ave, Lady Lake, Florida. You can contact this provider via phone number 3522504696 and fax number 3527511281. The mailing address for Nannette M Boulais is 809 Truman Ave, Lady Lake, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nannette M Boulais |
|---|---|
| Address | 809 Truman Ave, Lady Lake, Florida |
| Phone Number | 3522504696 |
| Fax Number | 3527511281 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1093870404 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 809 Truman Ave |
|---|---|
| City | Lady Lake |
| State | Florida (FL) |
| Post Code | 321592373 |
| Phone Number | 3522504696 |
| Fax Number | 3527511281 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA41482 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C3856 | FL | BC BS |
Post Comment/ Review Below
What is the unique identifier code issued to Nannette M Boulais by the Centers for Medicare & Medicaid Services (CMS)?
The Nannette M Boulais has been assigned the NPI (National Provider Identifier) 1093870404. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Nannette M Boulais?
The Nannette M Boulais is physically situated at 809 Truman Ave, in the city of Lady Lake, state of FL, with the postal code 321592373.
What is the Nannette M Boulais's area of specialization and corresponding taxonomy classification?
The Nannette M Boulais's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date was the 1093870404 assigned to Nannette M Boulais?
The Nannette M Boulais was issued its 1093870404 on 2006-12-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Nannette M Boulais most recently updated or revised?
The details related to Nannette M Boulais, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1912900226
Address: 2151 S. Highway Alt. A1a, Suite 1500, Jupiter, FL