Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Carol Diane Boulware, LMT

Individual provider Massage Therapist · NPI 1275781643

MS. Carol Diane Boulware, LMT is a Massage Therapist in Quincy, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

1615 Spruce St
Quincy, IL 62301-2060
Phone: (217) 242-3495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2005038798 (MO)

Record details

NPI number1275781643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 28, 2008
Last updated in NPPESAugust 28, 2008

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