MRS. THEODORA COLBURN BA BS RN NPI 1508111964

NPI Information

  • NPI: 1508111964
  • Provider Name: MRS. THEODORA COLBURN, BA BS RN
  • Classification: Registered Nurse - 163WM1400X
  • Specialization: Nurse Massage Therapist (NMT)
  • Entity Type: Individual
  • Address: 38 OLMSTEAD ST
    JAMAICA PLAIN, MA
    ZIP 02130
  • Phone: (617) 514-1515

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NPI Details

MRS. Theodora Colburn, BA BS RN is a nurse massage therapist (nmt) registered nurse in Jamaica Plain, MA. MRS. Theodora Colburn, BA BS RN NPI is 1508111964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38 OLMSTEAD ST
JAMAICA PLAIN, MA
ZIP 02130-910
Phone: (617) 514-1515
Fax: (617) 083-5610

The enumeration date for this NPI number is 7/20/2012 and was last updated on 7/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SR0400XClinical Nurse SpecialistRehabilitationRN118502MASSACHUSETTSNo
2163WM1400XRegistered NurseNurse Massage Therapist (NMT)RN118502MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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