Individual provider · Type 1 NPI

Emily Dianne Boughal, LMT

Massage Therapist · Puyallup, WA

NPI number 1013739929 Active

Practice location

3712 9th St SW Ste A1
Puyallup, WA 98373-3564

Call (253) 880-7004 Map

Mailing address

2358 S Hosmer St
Tacoma, WA 98405-3149

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X61508749 (WA)

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.

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About NPI 1013739929

Emily Dianne Boughal, LMT's National Provider Identifier is 1013739929, issued on Oct 30, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Oct 30, 2024.