NPI 1912886318

Gladys Imadomwonyi

Practitioner Massage Therapist Jamaica Plain, MA

Practice location

Address: 590 Centre St, Jamaica Plain, MA 02130-2582
Phone: (617) 894-8732
Fax: (617) 894-8732

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 18113 (MA)

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Registry record

NPI: 1912886318
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2025
Record last updated: 29 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.