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Ms. Nannette M Boulais, LMT
Massage Therapist in Summerfield, Florida
NPI 1093870404

Nannette M Boulais is a Massage Therapist based in Lady Lake, FL. Nannette M Boulais practices in Summerfield, FL and has the professional credentials of LMT. The NPI Number for Nannette M Boulais is 1093870404 and holds a License No. MA41482 (Florida).

The current practice location address for Nannette M Boulais is 10935 Se 177Th Pl, Summerfield, FL and can be reached out via phone at 352-250-4696 and via fax at 352-751-1280.

Location: 10935 Se 177Th Pl, Summerfield, FL, 32159-2373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093870404
Provider Name
Nannette M Boulais
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
10935 Se 177Th Pl, Summerfield, FL, 32159-2373
Phone Number
352-250-4696
Fax Number
352-751-1280
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C3856 01 FL BC BS
institution
Provider Business Practice Location Address Details
Address
10935 Se 177Th Pl
City
Summerfield
State
Florida
Zip
34491-8975
Phone Number
352-250-4696
Fax Number
352-751-1280
person
Provider Business Mailing Address Details
Address
10935 Se 177Th Pl
City
Summerfield
State
Florida
Zip
34491-8975
Phone Number
352-250-4696
Fax Number
352-751-1280
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA41482 (Florida)
Definition
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.
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