KIMBERLY ALEXIS BOULOS NC LMT #20552 NPI 1568140564

NPI Information

NPI: 1568140564
Provider Name: KIMBERLY ALEXIS BOULOS, NC LMT #20552
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
304 CHESTNUT PKWY APT 8227
INDIAN TRAIL, NC
ZIP 28079
Phone: (551) 253-7256
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Kimberly Alexis Boulos, NC LMT #20552 is a massage therapist in Indian Trail, NC. The provider is 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. Kimberly Alexis Boulos, NC LMT #20552 NPI is 1568140564. 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:

304 CHESTNUT PKWY APT 8227
INDIAN TRAIL, NC
ZIP 28079-862
Phone: (551) 253-7256

The enumeration date for this NPI number is 7/10/2023 and was last updated on 7/10/2023.

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	Primary
1	171400000X	Health and Wellness Coach	No
2	225400000X	Rehabilitation Practitioner	No
3	374J00000X	Doula	No
4	225700000X	Massage Therapist	Yes

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: 5/5/2024

NPI Synchronization or Removal

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