Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYNA BOCCAROSSA, CMT
Active Sole ProprietorTYNA BOCCAROSSA, CMT is a Massage Therapist healthcare provider located in NEWBURG, Maryland. NPI 1679931265 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · NEWBURG, MD
Registration Details
- NPI Number
- 1679931265
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2016 (10.465762885952 yrs)
- Last Updated
- Feb 10, 2016
- License
-
M01503 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12412 CHANNELVIEW DRNEWBURG, MD, 206642212Browse MD providers · Browse ZIP 20664
- Phone
- 3015363897
- Primary Specialty
-
Massage Therapist
225700000X
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.