Individual provider · Type 1 NPI
Omari Banner
Massage Therapist · Waltham, MA
NPI number
1861312175
Active
Practice location
49 Ravenswood Rd
Waltham, MA 02453-1747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17561 (MA) |
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 Waltham
About NPI 1861312175
Omari Banner's National Provider Identifier is 1861312175, issued on Jul 16, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waltham, MA. The record was last updated on Jul 16, 2026.