person
Dr. Shane D. Boucher, DC
Chiropractor in University Place, Washington
NPI 1093805178

Shane D. Boucher is a Chiropractor based in University Place, WA. Shane D. Boucher practices in University Place, WA and has the professional credentials of DC. The NPI Number for Shane D. Boucher is 1093805178 and holds a License No. CH00034742 (Washington).

The current practice location address for Shane D. Boucher is 7307 40Th St W Ste B, University Place, WA and can be reached out via phone at 253-753-6204.

Location: 7307 40Th St W Ste B, University Place, WA, 98466-6612
person
Provider Profile Details
NPI Number
1093805178
Provider Name
Shane D. Boucher
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
7307 40Th St W Ste B, University Place, WA, 98466-6612
Phone Number
253-753-6204
Fax Number
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7307 40Th St W Ste B
City
State
Zip
98466-4385
Phone Number
253-753-6204
Fax Number
person
Provider Business Mailing Address Details
Address
7307 40Th St W Ste B
City
State
Zip
98466-4385
Phone Number
253-753-6204
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH00034742 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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