IndividualActive
Michelle Boller, CMT
NPI 1003429408 · Massage Therapist · San Diego, CA
Provider details
- NPI number
- 1003429408
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29634 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
813 W Washington St
San Diego, CA 92103-1804
Phone: (619) 269-9909
Street-level locationGet directions
Mailing address
3009 Union St Unit 2
San Diego, CA 92103-6080
Registry dates
- Enumerated
- 2020-08-25
- Last updated
- 2020-08-25
- Certified
- 2020-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.