Individual
SHAILA BOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12925 PATTERSON RD, NORTH LAWRENCE, OH 44666-9730
(330) 696-5229
Mailing address
12925 PATTERSON RD, NORTH LAWRENCE, OH 44666-9730
(330) 696-5229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16089
OH
Other
Enumeration date
05/18/2008
Last updated
05/18/2008
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