Individual provider · Type 1 NPI

Stephanie Boston, LMT/CMMP

Massage Therapist · Metuchen, NJ

NPI number 1780160887 Active

Practice location

15 Amboy Ave
Metuchen, NJ 08840-2518

Call (732) 548-2001 Map

Mailing address

PO Box 135
Avenel, NJ 07001-0135

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18KT00462000 (NJ)

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 1780160887

Stephanie Boston, LMT/CMMP's National Provider Identifier is 1780160887, issued on Jul 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Metuchen, NJ. The record was last updated on Jul 12, 2018.