Individual
SAMANTHA LYNN BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SABLE CHASE, BROWNSBURG, IN 46112-2126
(317) 200-6667
Mailing address
475 SABLE CHASE, BROWNSBURG, IN 46112-2126
(317) 200-6667
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21405261
IN
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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