Sarah Boniface, LMT
Individual provider Active NPI Massage Therapist · Marion, IA
NPI 1003478249 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1003478249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 006531 (IA)
- Practice address
- 999 44TH St Ste 10000
Marion, IA 52302-3833 - Phone
- (319) 373-7311
- Fax
- (319) 373-7313
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006531 | IA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Physical Therapy, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 006531 | IA | Yes |
Addresses
Primary practice location
999 44TH St Ste 10000
Marion, IA 52302-3833
Mailing address
999 44TH St Ste 10000
Marion, IA 52302-3833
Phone (319) 373-7311
Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.