Individual provider · Type 1 NPI

Nannette M. Boulais, LMT

Massage Therapist · Summerfield, FL

NPI number 1093870404 Active

Practice location

10935 SE 177th Pl, Suite 306
Summerfield, FL 34491-8975

Call (352) 250-4696 Map

Fax (352) 751-1280

Mailing address

809 Truman Ave
Lady Lake, FL 32159-2373

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA41482 (FL)

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.

3 other providers at this address

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About NPI 1093870404

Nannette M. Boulais, LMT's National Provider Identifier is 1093870404, issued on Dec 26, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Summerfield, FL. The record was last updated on Jul 8, 2007.