Individual provider · Type 1 NPI

Susan Johanna Bouman, LMT

Massage Therapist · Ashland, OR

NPI number 1104303916 Active

Practice location

550 Siskiyou Blvd
Ashland, OR 97520-2138

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X3265 (OR)

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 1104303916

Susan Johanna Bouman, LMT's National Provider Identifier is 1104303916, issued on Jul 24, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ashland, OR. The record was last updated on Jul 24, 2018.