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David Alven Boughton, CMT

Massage Therapist in Davis, CA. Individual provider (NPI-1).

NPI number1750200580
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1750200580
Entity type
Individual (NPI-1)
Name
Mr. David Alven Boughton
Credential
CMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 14, 2026
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist78009CAYes

Practice location

1711 Chapman Pl
Davis, CA 95618-1453

Phone 530-848-4392

Mailing address

1711 Chapman Pl
Davis, CA 95618-1453

Phone 530-848-4392

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