Individual provider · Type 1 NPI

Susan Carmen Boland

Massage Therapist · Port Charlotte, FL

NPI number 1730245457 Active

Practice location

2101 Tamiami Trl
Port Charlotte, FL 33948-2186

Fax (941) 766-1256

Mailing address

PO Box 380878
Murdock, FL 33938-0878

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA20202 (FL)

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 1730245457

Susan Carmen Boland's National Provider Identifier is 1730245457, issued on Dec 28, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jul 8, 2007.