Organization
CAUDILL BOUTIN THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA D CAUDILL LMT (OWNER)
(502) 425-3611
Entity
Organization
Contact information
Practice address
7410 NEW LAGRANGE RD, #302, LOUISVILLE, KY 40222-4871
(502) 425-3611
(502) 426-0336
Mailing address
7410 NEW LAGRANGE RD, #302, LOUISVILLE, KY 40222-4871
(502) 425-3611
(502) 426-0336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0782
KY
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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