Elaine Naomi Bouchard, CMT
Massage Therapist in Sacramento, CA. Individual provider (NPI-1).
NPI number1104299775
StatusActive
Last updated in NPPESNov 4, 2015
Details
- NPI
- 1104299775
- Entity type
- Individual (NPI-1)
- Name
- Elaine Naomi Bouchard
- Credential
- CMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2015
- Last updated
- Nov 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 36438 | CA | Yes |
Practice location
2414 21st StSacramento, CA 95818-2410
Phone 530-388-0615
Mailing address
9437 Fort Worth WaySacramento, CA 95827-1013
Phone 530-388-0615
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