Individual provider · Type 1 NPI
Lori Boden Gaines, L.M.T.
Massage Therapist · Sarasota, FL
NPI number
1104163245
Active
Practice location
2800 Bahia Vista St Ste 400
Sarasota, FL 34239-2710
Mailing address
5603 New York Ave
Sarasota, FL 34231-8420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA35911 (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.
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About NPI 1104163245
Lori Boden Gaines, L.M.T.'s National Provider Identifier is 1104163245, issued on Jan 9, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sarasota, FL. The record was last updated on Jan 9, 2013.