Individual
MRS. CARRIE ELAINE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
210 PROFESSIONAL PARK DR SE STE 10, BLACKSBURG, VA 24060-6649
(540) 605-8751
(540) 750-4062
Mailing address
125 HAYMAKER ST, CHRISTIANSBURG, VA 24073-3115
(540) 449-4235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006762
VA
Other
Enumeration date
04/21/2011
Last updated
09/06/2021
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