IndividualActive
Brianna Boulanger, MT
NPI 1306274584 · Massage Therapist · Providence, RI
Provider details
- NPI number
- 1306274584
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT
- Sex
- Female
- Sole proprietor
- No
- License
- MT01910 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 Highland Ave
Suite 102
Providence, RI 02906
Phone: (401) 305-5280
Fax: (401) 305-5285
Approximate (ZIP-level) locationGet directions
Mailing address
100 Highland Ave
Providence, RI 02906
Registry dates
- Enumerated
- 2013-10-24
- Last updated
- 2013-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.