Olivia R. Boughton, LMT
Individual provider Active NPI Massage Therapist · Culpeper, VA
NPI 1003667338 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1003667338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0019019166 (VA)
- Practice address
- 767 Madison Rd Ste 108
Culpeper, VA 22701-3340 - Phone
- (401) 862-2837
- NPI assigned
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0019019166 | VA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019019166 | VA | Yes |
Addresses
Primary practice location
767 Madison Rd Ste 108
Culpeper, VA 22701-3340
Mailing address
307 Bock St
Gordonsville, VA 22942-9177
Phone (401) 862-2837
Other providers in Culpeper, VA
- Sarah Louise Bonfiglio
- Sendy Liliana Bonilla
- Shana R Bonner
- Wendell Boone
- Dwight C Boston
- Sharon B Brani
- David Russell Brear
- Alvin Wayne Breeden Jr.
- Melinda Brennan
- Brooks Chiropractic Clinic, P.C.
All providers in Culpeper, VA · Massage Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. 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.