Individual provider · Type 1 NPI
Tyna Boccarossa, CMT
Massage Therapist · Newburg, MD
NPI number
1679931265
Active
Practice location
12412 Channelview Dr
Newburg, MD 20664-2212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M01503 (MD) |
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 1679931265
Tyna Boccarossa, CMT's National Provider Identifier is 1679931265, issued on Feb 10, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Newburg, MD. The record was last updated on Feb 10, 2016.