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

Omari Banner

Individual provider Massage Therapist · NPI 1861312175

Omari Banner is a Massage Therapist in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

49 Ravenswood Rd
Waltham, MA 02453-1747
Phone: (781) 547-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17561 (MA)

Record details

NPI number1861312175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 17, 2026
Mailing address49 Ravenswood Rd, Waltham, MA 02453-1747

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