Terri L Bostan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

285 Issued in ND

Practice address

104 1St Ave S
Suite 100
Jamestown, ND 58401-4194

Phone

(701) 252-4698

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Terri L Rosemore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1871899211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 1ST AVE S",
            "address_2": "SUITE 100",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014194",
            "telephone_number": "701-252-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 1ST AVE S",
            "address_2": "SUITE 100",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014194",
            "telephone_number": "701-252-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTAN",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ND",
            "license": "285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "ROSEMORE",
            "middle_name": "L",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adrienne Rae Maree Bohl, LCSW
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• Laura Ann Bond, NP
• Taryn Nicole Boom, DNP, APRN, CNP
• Kira Bossert, LSW
• Michael J Boulter, MD
• Jennifer Bourne, LMT
• Kathryn Bradley, RN
• Renee Brady
• Jason J Braun, D.D.S.

• Massage Therapist in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Massage Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.