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John Bouchard
Massage Therapist in Decatur, Georgia
NPI 1144859075

John Bouchard is a Massage Therapist based in Decatur, GA. John Bouchard practices in Decatur, GA. The NPI Number for John Bouchard is 1144859075 and holds a License No. MT012568 (Georgia).

The current practice location address for John Bouchard is 701 Church St, Decatur, GA and can be reached out via phone at 678-774-9773. You can also correspond with John Bouchard through the mailing address at 701 CHURCH ST, DECATUR, GA - 30030-2520 (mailing address contact number: 678-774-9773).

Location: 701 Church St, Decatur, GA, 30030-2520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144859075
Provider Name
John Bouchard
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 Church St, Decatur, GA, 30030-2520
Phone Number
678-774-9773
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Church St
City
Decatur
State
Georgia
Zip
30030-2520
Phone Number
678-774-9773
Fax Number
person
Provider Business Mailing Address Details
Address
701 Church St
City
Decatur
State
Georgia
Zip
30030-2520
Phone Number
678-774-9773
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT012568 (Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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