Individual
MICHELLE BOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., M.A.O.M.
Contact information
Practice address
111 W 10TH AVE, JOHNSON CITY, TN 37604-3844
(423) 612-7494
(423) 722-9333
Mailing address
111 W 10TH AVE, JOHNSON CITY, TN 37604-3844
(423) 612-7494
(423) 722-9333
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU0000000207
TN
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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