Individual
MRS. NICOLE ANN BOUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2730 ELLWOOD RD STE 3, NEW CASTLE, PA 16101-6276
(724) 944-1663
Mailing address
3118 BOUGHTER DR, NEW CASTLE, PA 16101-7240
(724) 944-1663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000396
PA
Other
Enumeration date
04/02/2012
Last updated
11/21/2024
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