Active NPIIndividual providerSole proprietor

Ms. Katherine A Bolduc

Massage Therapist in Peabody, Massachusetts

NPI Number1992091169
Practice location
96 Lynn St, 2ND Floor Rear, Peabody, MA 01960-5739
Fax
—
Last updated
June 25, 2011

Katherine A Bolduc is a Massage Therapist based in Peabody, MA. Katherine A Bolduc practices in Peabody, MA. The NPI Number for Katherine A Bolduc is 1992091169 and holds a License No. 9305 (MA). The current practice location address for Katherine A Bolduc is 96 Lynn St, 2ND Floor Rear, Peabody, MA 01960-5739 and can be reached out via phone at 978-648-1828.

Provider Profile Details

NPI Number
1992091169
Provider Name
Katherine A Bolduc
Provider Entity Type
Individual
Gender
Female
Address
96 Lynn St, 2ND Floor Rear, Peabody, MA 01960-5739
Phone Number
978-648-1828
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2011
Last Update Date
June 25, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 Lynn St
2ND Floor Rear
Peabody, MA 01960-5739
Zip
01960-5739
Phone Number
978-648-1828
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
96 Lynn St
2ND Floor Rear
Peabody, MA 01960-5739
City
Peabody
State
MA
Zip
01960-5739
Phone Number
978-648-1828

License Information

License Number
9305
License State
MA
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Katherine A Bolduc?

The NPI number of Ms. Katherine A Bolduc is 1992091169. It was assigned on June 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Katherine A Bolduc?

Ms. Katherine A Bolduc is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 9305.

Where does Ms. Katherine A Bolduc practice?

The practice location is 96 Lynn St, 2ND Floor Rear, Peabody, MA 01960-5739. The office can be reached at 978-648-1828 (phone).

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 1992091169 directly on the NPPES registry website.

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