Individual provider · Type 1 NPI
Mary Jo Bouman
Massage Therapist · Dover, MA
NPI number
1952791972
Active
Practice location
310 Dedham St
Dover, MA 02030-2230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 3396 (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.
About NPI 1952791972
Mary Jo Bouman's National Provider Identifier is 1952791972, issued on Jan 28, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dover, MA. The record was last updated on Jan 28, 2015.