Individual provider · Type 1 NPI
Deonna Lea Bouska, CMT
Massage Therapist · Clearwater, MN
NPI number
1255628293
Active
Practice location
18542 Driftwood Rd
Clearwater, MN 55320-1617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
About NPI 1255628293
Deonna Lea Bouska, CMT's National Provider Identifier is 1255628293, issued on Jun 28, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clearwater, MN. The record was last updated on Jun 28, 2011.