Individual provider · Type 1 NPI

Gina M. Boldt, L.M.T

Massage Therapist · Williamsville, NY

NPI number 1942598107 Active

Practice location

400 International Dr
Williamsville, NY 14221-5760

Call (716) 631-1516 Map

Mailing address

12740 Koepsel Rd
Akron, NY 14001-9628

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X020181-1 (NY)

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 1942598107

Gina M. Boldt, L.M.T's National Provider Identifier is 1942598107, issued on Jul 20, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williamsville, NY. The record was last updated on Jul 20, 2011.