ETHAN BOSWELL, LMT
Massage Therapist
Active
Individual
NPI: 1548072499
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 28815 (OR) |
Frequently Asked Questions
NPI 1548072499 is the National Provider Identifier for ETHAN BOSWELL, LMT, a Massage Therapist provider located in Beaverton, OR. This NPI was enumerated on January 27, 2025.
ETHAN BOSWELL, LMT practices at 12750 SW 2ND ST STE 203, Beaverton, OR 97005.
Quick Facts
- NPI
- 1548072499
- Type
- Individual
- Enumerated
- Jan 27, 2025
- Last Updated
- Jan 27, 2025
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