Individual provider · Type 1 NPI
Ashley Lynn Boomer, LMT
Massage Therapist · Porter, TX
NPI number
1457084204
Active
Practice location
22415 FM 1314 Rd Ste C
Porter, TX 77365-4280
Mailing address
21314 Hubbard Run Dr
Porter, TX 77365-6579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT127774 (TX) |
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.
Other massage therapist providers in Porter
About NPI 1457084204
Ashley Lynn Boomer, LMT's National Provider Identifier is 1457084204, issued on Jul 7, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Porter, TX. The record was last updated on Jul 7, 2022.