Ms Carol Diane Boulware, LMT | |
1615 Spruce St, Quincy, IL 62301-2060 | |
(217) 242-3495 | |
Not Available |
Full Name | Ms Carol Diane Boulware |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 1615 Spruce St, Quincy, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275781643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 2005038798 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Carol Diane Boulware, LMT 1615 Spruce St, Quincy, IL 62301-2060 Ph: (217) 242-3495 | Ms Carol Diane Boulware, LMT 1615 Spruce St, Quincy, IL 62301-2060 Ph: (217) 242-3495 |
Rebecca S Perrine, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 S 8th St, Quincy, IL 62301 Phone: 217-242-9474 | |
Cynthia S. Spake, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 |