| Ms Carol Diane Boulware, LMT | |
|
1615 Spruce St, Quincy, IL 62301-2060 | |
| (217) 242-3495 | |
| Not Available |
| Full Name | Ms Carol Diane Boulware |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1615 Spruce St, Quincy, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275781643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2005038798 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol Diane Boulware, LMT 1615 Spruce St, Quincy, IL 62301-2060 Ph: (217) 242-3495 | Ms Carol Diane Boulware, LMT 1615 Spruce St, Quincy, IL 62301-2060 Ph: (217) 242-3495 |
Rebecca S Perrine, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 S 8th St, Quincy, IL 62301 Phone: 217-242-9474 | |
Cynthia S. Spake, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 |