Individual provider · Type 1 NPI

Elaine Naomi Bouchard, CMT

Massage Therapist · Sacramento, CA

NPI number 1104299775 Active

Practice location

2414 21st St
Sacramento, CA 95818-2410

Call (530) 388-0615 Map

Mailing address

9437 Fort Worth Way
Sacramento, CA 95827-1013

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X36438 (CA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1104299775

Elaine Naomi Bouchard, CMT's National Provider Identifier is 1104299775, issued on Nov 4, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sacramento, CA. The record was last updated on Nov 4, 2015.