Doctor Name: | IRINA N BOUBELEVA |
NPI Number: | 1346439205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, MS |
License Number: | 33.013746 |
Business Practice Address: | 815 N High St Studio M Columbus, OH - 432151486 |
Business Phone Number: | 6145717190 |
Business Fax Number: | |
Mailing Address: | 2033 Belltree Dr, REYNOLDSBURG |
State: | OH |
Postal Code: | 430683504 |
Phone Number: | 6145717190 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.013746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |