Individual provider · Type 1 NPI

Nathan Jeffery Bou, LMT

Massage Therapist · Royal Oak, MI

NPI number 1194307082 Active

Practice location

4015 N Blair Ave
Royal Oak, MI 48073-2709

Call (248) 385-2990 Map

Mailing address

24644 Hickory St
Dearborn, MI 48124-2421

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501012012 (MI)

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 1194307082

Nathan Jeffery Bou, LMT's National Provider Identifier is 1194307082, issued on Apr 21, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Royal Oak, MI. The record was last updated on Apr 21, 2021.