Matthew Thomas Boswell, LMT

Individual provider Active NPI Massage Therapist · Cortlandt Manor, NY

NPI 1508201005 · NPPES record last updated May 9, 2013

Key facts

NPI
1508201005
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
025519-1 (NY)
Practice address
2 Renee Gate St
Cortlandt Manor, NY 10567-1414
Phone
(201) 988-0712
NPI assigned
May 9, 2013
Sex
Male
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

LicenseStateTypeSpecialty
025519-1NYMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 025519-1 NY Yes

Addresses

Primary practice location

2 Renee Gate St
Cortlandt Manor, NY 10567-1414

Mailing address

532 Main St
New Paltz, NY 12561-1609
Phone (201) 988-0712

Other providers in Cortlandt Manor, NY

All providers in Cortlandt Manor, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.