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KIMBERLY ALEXIS BOULOS NJ LMT #18KT01515000
NPI 1568140564
Massage Therapist in Jersey City, NJ

Active since July 10, 2023
18 PARK VIEW AVE PH 2A, JERSEY CITY, NJ 07302(551) 253-7256 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 3, 2024, Jul 10, 2023 (2 updates tracked since 2023).

About Kimberly Alexis Boulos Nj Lmt #18kt01515000 NPPES

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

KIMBERLY ALEXIS BOULOS NJ LMT #18KT01515000 (NPI 1568140564) is an individual massage therapist in Jersey City, New Jersey and active in the NPI registry since July 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568140564
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY ALEXIS BOULOSCredential: NJ LMT #18KT01515000
Location Address18 PARK VIEW AVE PH 2AJersey City, NJ 07302-7389
Mailing Address149 Essex St Apt 4uJersey City, NJ 07302-7514 · (551) 253-7256
Phone(551) 253-7256
Sole ProprietorYes
Enumeration DateJuly 10, 2023
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1568140564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
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.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedHealth EducatorTaxonomy 174H00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedDoulaTaxonomy 374J00000X
18 PARK VIEW AVE PH 2A, Jersey City, NJ 07302
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Secondary Practice Locations 2

Location 1331 Palisade Ave # 3Jersey City, NJ 07307-1723 · Phone (551) 253-7256
Location 2149 Essex St Apt 4UJersey City, NJ 07302-7514 · Phone (551) 253-7256

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 Kimberly Boulos's NPI number?

The NPI number for Kimberly Boulos is 1568140564. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Kimberly Boulos located?

Kimberly Boulos practices at 18 Park View Ave Ph 2A, Jersey City, NJ 07302. The listed phone number is (551) 253-7256.

What is Kimberly Boulos'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 Kimberly Boulos was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.