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

Tyna Boccarossa, CMT

Individual provider Massage Therapist · NPI 1679931265

Tyna Boccarossa, CMT is a Massage Therapist in Newburg, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

12412 Channelview Dr
Newburg, MD 20664-2212
Phone: (301) 536-3897
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence M01503 (MD)

Record details

NPI number1679931265
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedFebruary 10, 2016
Last updated in NPPESFebruary 10, 2016
Mailing address12412 Channelview Dr, Newburg, MD 20664-2212