Brandon Boutain
Massage Therapist in Spokane Valley, WA. Individual provider (NPI-1).
NPI number1982248928
StatusActive
Last updated in NPPESNov 2, 2019
Details
- NPI
- 1982248928
- Entity type
- Individual (NPI-1)
- Name
- Brandon Boutain
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2019
- Last updated
- Nov 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA61007858 | WA | Yes |
Practice location
12121 E Broadway Ave Ste 5bSpokane Valley, WA 99206-4972
Phone 509-921-9800 · Fax 509-921-9810
Mailing address
12121 E Broadway Ave Ste 5bSpokane Valley, WA 99206-4972
Phone 509-921-9800 · Fax 509-921-9800
Other practice locations
22622 E Coronado Ct
Otis Orchards, WA 99027-9302
Otis Orchards, WA 99027-9302
Phone 509-631-0053
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All 328 Massage Therapist providers in Spokane Valley · All 3,759 providers in Spokane Valley
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