Individual provider · Type 1 NPI

Shane D. Boucher, DC

Chiropractor · University Place, WA

NPI number 1093805178 Active

Practice location

7307 40th St W Ste B
University Place, WA 98466-4385

Mailing address

4250 Alturus St W
University Place, WA 98466-6612

Other practice locations

  • 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 · (253) 507-4631

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCH00034742 (WA)
Chiropractor 111N00000X713689 (OR)
Chiropractor Primary 111N00000X11178 (TX)

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 1093805178

Shane D. Boucher, DC's National Provider Identifier is 1093805178, issued on Oct 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in University Place, WA. The record was last updated on Jan 14, 2023.