Individual provider · Type 1 NPI

Carrie Elaine Boucher, LMT

Massage Therapist · Blacksburg, VA

NPI number 1174814487 Active

Practice location

210 Professional Park Dr SE Ste 10
Blacksburg, VA 24060-6649

Call (540) 605-8751 Map

Fax (540) 750-4062

Mailing address

125 Haymaker St
Christiansburg, VA 24073-3115

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019006762 (VA)

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 1174814487

Carrie Elaine Boucher, LMT's National Provider Identifier is 1174814487, issued on Apr 21, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Blacksburg, VA. The record was last updated on Sep 6, 2021.