Individual provider · Type 1 NPI
Stephen Boutin, DC
Chiropractor · Louisville, KY
NPI number
1063522852
Active
Practice location
7410 New Lagrange Road, Suite 304
Louisville, KY 40222
Fax (502) 426-1337
Mailing address
7410 New La Grange Rd, Ste 304
Louisville, KY 40222-4871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4471 (KY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1063522852
Stephen Boutin, DC's National Provider Identifier is 1063522852, issued on Aug 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Louisville, KY. The record was last updated on May 10, 2017.