1. Home
  2. Directory
  3. Michigan
  4. Royal Oak
  5. Massage Therapist
  6. NPI Profile

NATHAN JEFFERY BOU LMT
NPI 1194307082
Massage Therapist in Royal Oak, MI

Active since April 21, 2021
4015 N BLAIR AVE, ROYAL OAK, MI 48073(248) 385-2990 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Jeffery Bou Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JEFFERY BOU LMT (NPI 1194307082) is an individual massage therapist in Royal Oak, Michigan, licensed in Michigan (7501012012) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1194307082
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameNATHAN JEFFERY BOUCredential: LMT
Location Address4015 N BLAIR AVERoyal Oak, MI 48073-2709
Mailing Address24644 Hickory StDearborn, MI 48124-2421 · (734) 748-2847
Phone(248) 385-2990
Sole ProprietorYes
Enumeration DateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1194307082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501012012
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.
4015 N BLAIR AVE, Royal Oak, MI 48073
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Bou's NPI number?

The NPI number for Nathan Bou is 1194307082. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Nathan Bou located?

Nathan Bou practices at 4015 N Blair Ave, Royal Oak, MI 48073. The listed phone number is (248) 385-2990.

What is Nathan Bou's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Nathan Bou was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.