Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CAROL DIANE BOULWARE, LMT
Active Sole ProprietorMS. CAROL DIANE BOULWARE, LMT is a Massage Therapist healthcare provider located in QUINCY, Illinois. NPI 1275781643 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · QUINCY, IL
Registration Details
- NPI Number
- 1275781643
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2008 (17.936583432995 yrs)
- Last Updated
- Aug 28, 2008
- License
-
2005038798 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1615 SPRUCE STQUINCY, IL, 623012060Browse IL providers · Browse ZIP 62301
- Phone
- 2172423495
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in QUINCY, IL
| Name | Credential | NPI |
|---|---|---|
| REBECCA S PERRINE | LMT | 1346362365 |
| CYNTHIA S. SPAKE | — | 1881847879 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.