Ms. Brianna L Boulanger, MT
Massage Therapist in Providence, Rhode Island
1306274584- Practice location
- 100 Highland Ave, Suite 102, Providence, RI 02906
- Phone
- 401-305-5280
- Fax
- 401-305-5285
- Last updated
- October 24, 2013
Brianna Leigh Boulanger is a Massage Therapist based in Providence, RI. Brianna Leigh Boulanger practices in Providence, RI and has the professional credentials of MT. The NPI Number for Brianna Leigh Boulanger is 1306274584 and holds a License No. MT01910 (RI). The current practice location address for Brianna Leigh Boulanger is 100 Highland Ave, Suite 102, Providence, RI 02906 and can be reached out via phone at 401-305-5280 and via fax at 401-305-5285.
Provider Profile Details
- NPI Number
- 1306274584
- Provider Name
- Brianna Leigh Boulanger
- Credential
- MT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Highland Ave, Suite 102, Providence, RI 02906
- Phone Number
- 401-305-5280
- Fax Number
- 401-305-5285
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2013
- Last Update Date
- October 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Highland Ave
Suite 102
Providence, RI 02906 - City
- Providence
- State
- Rhode Island
- Zip
- 02906
- Phone Number
- 401-305-5280
- Fax Number
- 401-305-5285
Provider Business Mailing Address Details
- Address
- 100 Highland Ave
Suite 102
Providence, RI 02906 - City
- Providence
- State
- RI
- Zip
- 02906
License Information
- License Number
- MT01910
- License State
- RI
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Brianna L Boulanger, MT?
The NPI number of Ms. Brianna L Boulanger, MT is 1306274584. It was assigned on October 24, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Brianna L Boulanger, MT?
Ms. Brianna L Boulanger, MT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in RI under license number MT01910.
Where does Ms. Brianna L Boulanger, MT practice?
The practice location is 100 Highland Ave, Suite 102, Providence, RI 02906. The office can be reached at 401-305-5280 (phone) or 401-305-5285 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306274584 directly on the NPPES registry website.