MEDICARE: G7 MASSAGE THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1467300939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G7 MASSAGE THERAPY INC

Provider Business Mailing Address
First Line	:	590 CENTRE ST
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-2582
Country	:	US
Telephone Number	:	617-894-8732
Fax Number	:	617-894-8732

Provider Business Practice Location Address
First Line	:	590 CENTRE ST
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-2582
Country	:	US
Telephone Number	:	617-894-8732
Fax Number	:	617-894-8732

Authorized Official
Title or Position	:	OWNER
Name	:	GLADYS IMADOMWONYI
Credential	:
Telephone Number	:	617-894-8732

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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