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Mrs. Carrie Elaine Boucher, LMT
Massage Therapist in Blacksburg, Virginia
NPI 1174814487

Carrie Elaine Boucher is a Massage Therapist based in Christiansburg, VA. Carrie Elaine Boucher practices in Blacksburg, VA and has the professional credentials of LMT. The NPI Number for Carrie Elaine Boucher is 1174814487 and holds a License No. 0019006762 (Virginia).

The current practice location address for Carrie Elaine Boucher is 210 Professional Park Dr Se Ste 10, Blacksburg, VA and can be reached out via phone at 540-605-8751 and via fax at 540-750-4062.

Location: 210 Professional Park Dr Se Ste 10, Blacksburg, VA, 24073-3115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174814487
Provider Name
Carrie Elaine Boucher
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
210 Professional Park Dr Se Ste 10, Blacksburg, VA, 24073-3115
Phone Number
540-605-8751
Fax Number
540-750-4062
Provider Enumeration Date
04/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 Professional Park Dr Se Ste 10
City
Blacksburg
State
Virginia
Zip
24060-6649
Phone Number
540-605-8751
Fax Number
540-750-4062
person
Provider Business Mailing Address Details
Address
210 Professional Park Dr Se Ste 10
City
Blacksburg
State
Virginia
Zip
24060-6649
Phone Number
540-605-8751
Fax Number
540-750-4062
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019006762 (Virginia)
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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