Brandon Boutain
NPI #1982248928 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1982248928
- Entity Type
- Individual
- Name
- Brandon Boutain
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Nov 2, 2019
- Last Updated
- Nov 2, 2019
Practice Location
- Address
- 12121 E BROADWAY AVE STE 5B
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-4972
- Phone
- (509) 921-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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