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Brandon Boutain
NPI 1982248928 · on the registry since 2019 · sole proprietor
Practice
- Address
- 12121 E Broadway Ave Ste 5b
Spokane Valley, WA 99206 - Phone
- (509) 921-9800
- Fax
- (509) 921-9810
- Organisation at this address
- Valley Massge Clinic
Valley Massage Clinic
Valley Massage Clinic
Layne D Hinckley Dds Ps
Scott J. Shumway Dds PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 22622 E Coronado Ct, Otis Orchards, WA
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington