MRS. KIMBERLY BOLER BS, LMT, CMCP - NPI 1700316684 - Massage Therapist in New Port Richey, FL

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Mrs. Kimberly Boler Bs, Lmt, Cmcp NPPES

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

MRS. KIMBERLY BOLER BS, LMT, CMCP (NPI 1700316684) is an individual massage therapist in New Port Richey, Florida, licensed in Florida (MA76368) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1700316684

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMRS. KIMBERLY BOLERCredential: BS, LMT, CMCP

Location Address1310 SEVEN SPRINGS BLVDNew Port Richey, FL 34655-5643

Mailing Address8551 Fenholloway CtTrinity, FL 34655-5340 · (813) 250-5461

Phone(727) 372-9500

Fax(727) 372-1268

Sole ProprietorYes

Enumeration DateJune 14, 2017

✔ NPI 1700316684 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 FL · MA76368

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.

1310 SEVEN SPRINGS BLVD, New Port Richey, FL 34655

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