Individual provider · Type 1 NPI

Brianna Leigh Boulanger, MT

Massage Therapist · Providence, RI

NPI number 1306274584 Active

Practice location

100 Highland Ave, Suite 102
Providence, RI 02906

Call (401) 305-5280 Map

Fax (401) 305-5285

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT01910 (RI)

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 1306274584

Brianna Leigh Boulanger, MT's National Provider Identifier is 1306274584, issued on Oct 24, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Providence, RI. The record was last updated on Oct 24, 2013.