Individual
JESSICA BOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
74 MAIN ST, DELHI, NY 13753-1158
(845) 428-1735
(607) 746-9700
Mailing address
74 MAIN ST, DELHI, NY 13753-1158
(845) 428-1735
(607) 746-9700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021413
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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