Individual provider · Type 1 NPI

Brandon Boutain

Massage Therapist · Spokane Valley, WA

NPI number 1982248928 Active

Practice location

12121 E Broadway Ave Ste 5B
Spokane Valley, WA 99206-4972

Call (509) 921-9800 Map

Fax (509) 921-9810

Other practice locations

  • 22622 E Coronado Ct, Otis Orchards, WA 99027-9302 · (509) 631-0053

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61007858 (WA)

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 1982248928

Brandon Boutain's National Provider Identifier is 1982248928, issued on Nov 2, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spokane Valley, WA. The record was last updated on Nov 2, 2019.