MS. Carol Diane Boulware, LMT is a massage therapist in Quincy, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MS. Carol Diane Boulware, LMT NPI is 1275781643. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1615 SPRUCE ST
QUINCY, IL
ZIP 62301-060
Phone: (217) 242-3495
The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.