NPI 1679931265 · live from the CMS NPI Registry
Tyna Boccarossa, CMT
Massage Therapist in Newburg, MD. National Provider Identifier 1679931265, active.
NPI record
| NPI | 1679931265 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 12412 Channelview Dr, Newburg, MD 20664 |
| Practice phone | 301-536-3897 |
| Enumerated | February 10, 2016 |
| Last updated | February 10, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M01503 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.