Individual provider · Type 1 NPI
Theodora Colburn, BA BS RN
Nurse Massage Therapist (NMT) · Jamaica Plain, MA
NPI number
1508111964
Active
Practice location
38 Olmstead St
Jamaica Plain, MA 02130-2910
Fax (617) 083-5610
Mailing address
38 Olmstead Street
Jamaica Plain, MA 02130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | RN118502 (MA) |
| Rehabilitation Clinical Nurse Specialist | 364SR0400X | RN118502 (MA) |
Nurse Massage Therapist (NMT): Definition to come...
About NPI 1508111964
Theodora Colburn, BA BS RN's National Provider Identifier is 1508111964, issued on Jul 20, 2012. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 20, 2012.