Individual
MRS. KIMBERLY BOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LMT, CMCP
Contact information
Practice address
1310 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL 34655-5643
(727) 372-9500
(727) 372-1268
Mailing address
8551 FENHOLLOWAY CT, TRINITY, FL 34655-5340
(813) 250-5461
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA76368
FL
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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