Susan Carmen Boland in Murdock - Massage Therapist

Susan Carmen Boland - NPI 1730245457

Susan Carmen Boland is a Massage Therapist in Murdock, Florida. Susan Carmen Boland practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Susan Carmen Boland is 1730245457. The last update date is 2007-07-08.

Susan Carmen Boland's current location address is Po Box 380878, Murdock, Florida. You can contact this provider via phone number 9417661882 and fax number 9417661256. The mailing address for Susan Carmen Boland is Po Box 380878, Murdock, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Carmen Boland
Address Po Box 380878, Murdock, Florida
Phone Number 9417661882
Fax Number 9417661256
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1730245457
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 380878
City Murdock
State Florida (FL)
Post Code 339380878
Phone Number 9417661882
Fax Number 9417661256

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA20202
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C2742 FL BCBS

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FAQs about Susan Carmen Boland

What is the Susan Carmen Boland's unique identification number?

The Susan Carmen Boland has been assigned the NPI (National Provider Identifier) Number 1730245457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Susan Carmen Boland is physically located?

The Susan Carmen Boland is physically situated at the following address: Po Box 380878, Murdock, FL, 339380878.

What is Susan Carmen Boland's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan Carmen Boland is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.

On what date did Susan Carmen Boland receive its 1730245457 assignment from the Centers for Medicare & Medicaid Services?

The Susan Carmen Boland was assigned its 1730245457 on 2006-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Susan Carmen Boland most recently updated?

The details pertaining to the Susan Carmen Boland, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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