Organization
S J BOUTIN D C PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JACQUES BOUTIN DC (CHIROPRACTOR)
(502) 426-1330
Entity
Organization
Contact information
Practice address
7410 NEW LAGRANGE RD, 304, LOUISVILLE, KY 40222-4871
(502) 426-1330
(504) 426-1337
Mailing address
7410 NEW LAGRANGE RD, STE 304, LOUISVILLE, KY 40222-4871
(502) 426-1330
(504) 426-1337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4471
KY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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