Individual
MRS. MARYELLEN WILLETTE BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
84 S MAIN ST, BARRE, VT 05641-4897
(802) 476-3305
(802) 476-0976
Mailing address
84 S MAIN ST, BARRE, VT 05641-4897
(802) 476-3305
(802) 476-0976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003183
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN 2233
—
VT
Enumeration date
06/12/2006
Last updated
09/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us