Individual provider · Type 1 NPI
Michelle Boller, CMT
Massage Therapist · San Diego, CA
NPI number
1003429408
Active
Practice location
813 W Washington St
San Diego, CA 92103-1804
Mailing address
3009 Union St Unit 2
San Diego, CA 92103-6080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 29634 (CA) |
Massage Therapist: 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.
2 other providers at this address
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About NPI 1003429408
Michelle Boller, CMT's National Provider Identifier is 1003429408, issued on Aug 25, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Aug 25, 2020.