Healthcare Provider Details

I. General information

NPI: 1821953209
Provider Name (Legal Business Name): KARLAND BARRETT LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3464 WASHINGTON ST
JAMAICA PLAIN MA
02130-2665
US

IV. Provider business mailing address

86 GREENBRIER ST APT 2
BOSTON MA
02124-1234
US

V. Phone/Fax

Practice location:
  • Phone: 617-681-7719
  • Fax:
Mailing address:
  • Phone: 617-681-7719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number13675
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: