MRS. CARRIE ELAINE BOUCHER (NPI# 1174814487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174814487 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE ELAINE BOUCHER |
| Credential | CMT |
| Practice Address |
801 University City Blvd Suite 12 Blacksburg VA 24060-2732 |
| Mailing Address |
2500 Capistrano St Blacksburg VA 24060-8217 |
| Practice Telephone | 5404493035 |
| Mailing Telephone | 5404493035 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019006762 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
801 UNIVERSITY CITY BLVD SUITE 12 |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648807 | Nancy Mignone | Massage Therapist | 1715 Ginger Ln, Blacksburg, VA 24060-2049 | 2020-01-08 |
| 1164062022 | Lela E Kelsey | Massage Therapist | 714 Barringer Dr, Blacksburg, VA 24060-3202 | 2020-01-08 |
| 1346473410 | Melanie Janay Dowell | Massage Therapist | 460 Turner St Nw, Suite 202, Blacksburg, VA 24060-3325 | 2009-08-24 |
| 1972102689 | Stephen Tod Whitehurst | Massage Therapist | 2001 S Main St, Blacksburg, VA 24060-6678 | 2020-10-22 |
| 1568812899 | Derek Rudolph | Massage Therapist | 1999 S Main St, Ste 303 B, Blacksburg, VA 24060-6634 | 2016-06-17 |
| 1629427455 | Brian Makris | Massage Therapist | 2001 S Main St, Blacksburg, VA 24060-6678 | 2016-06-13 |
| 1083950406 | Body Balance Spa, LLC | Massage Therapist | 1997 S Main St Ste 604e, Blacksburg, VA 24060-6606 | 2012-12-13 |
| 1518221258 | Jamie S Earls | Massage Therapist | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588405 | Gisele Ortiz | Massage Therapist | 1132 E Market St, Charlottesville, VA 22902-5351 | 2020-11-08 |
| 1275134017 | Kendall Burton | Massage Therapist | 4310 Grantlake Rd, Richmond, VA 23234-3649 | 2020-11-06 |
| 1174124952 | Timothy Joel Stansfield | Massage Therapist | 43845 Thornberry Sq Unit 403, Leesburg, VA 20176-3402 | 2020-11-06 |
| 1265033211 | Kati Lambert | Massage Therapist | 100 Bridge St Ste D, Hampton, VA 23669-4067 | 2020-11-05 |
| 1871192542 | Samuel Wood | Massage Therapist | 10169 Niccole Ln, Mechanicsville, VA 23116-4719 | 2020-10-22 |
| 1073111431 | Erik Larson | Massage Therapist | 624 1/2 Charlotte St, Fredericksburg, VA 22401-5704 | 2020-10-16 |
| 1629676531 | Dana Carlton | Massage Therapist | 1340 N Great Neck Rd # 1272263, Virginia Beach, VA 23454-2268 | 2020-10-13 |
| 1609474717 | Tashana Latrice Trotter | Massage Therapist | 1816 Volvo Pkwy, Chesapeake, VA 23320-8122 | 2020-10-12 |
| 1942808118 | Renee Anderson | Massage Therapist | 14701 River Walk Way Apt 216, Woodbridge, VA 22191-5961 | 2020-10-11 |
| 1902404205 | Akeem M Hutcherson | Massage Therapist | 406 W Franklin St, Richmond, VA 23220-4906 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
Please comment or provide details below to improve the information on MRS. CARRIE ELAINE BOUCHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.