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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA35911 (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.