KRISTY S BOUCHARD DC PC (NPI# 1386096816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386096816 |
| Entity Type | Organization |
| Organization Name | KRISTY S BOUCHARD DC PC |
| Practice Address |
308 Town Center Dr Troy MI 48084-1742 |
| Mailing Address |
Po Box 4511 Troy MI 48099-4511 |
| Practice Telephone | 2489062225 |
| Mailing Telephone | 2489062225 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | KRISTY SUE BOUCHARD (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2489062225 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301007569 | MI | Chiropractic Providers |
| Street Address |
308 TOWN CENTER DR |
| City | TROY |
| State | MI |
| Zip Code | 48084-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919992 | Kristy Sue Bouchard | Chiropractor | 308 Town Center Dr, Troy, MI 48084-1742 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740813567 | Katie Grech D.c., P.C. | Chiropractor | 1147 E Long Lake Rd Ste 3, Troy, MI 48085-4943 | 2020-02-20 |
| 1457915563 | Wesley Paten | Chiropractor | 1175 W Long Lake Rd Ste 100, Troy, MI 48098-4455 | 2019-04-24 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1811403249 | Garrett B Buell | Chiropractor | 1930 Prime Ct Ste 105, Troy, OH 45373-9045 | 2017-12-21 |
| 1851806582 | Authentic Living Center, Inc. | Chiropractor | 2525 Crooks Rd Ste 101, Troy, MI 48084-4733 | 2017-12-04 |
| 1588105803 | Carolynn M Maselli | Chiropractor | 1 Conway Court, Troy, NY 12180-6669 | 2017-03-20 |
| 1104368596 | Brittany Maclennan | Chiropractor | 4276 Clarke Dr, Troy, MI 48085-4905 | 2016-11-16 |
| 1083169577 | Fernandez-wills LLC | Chiropractor | 1741 W Main St, Troy, OH 45373-2301 | 2016-08-24 |
| 1982055786 | Deandra Stewart | Chiropractor | 1340 Us-231 #3, Troy, AL 36081 | 2016-06-23 |
| 1306202817 | Jeffrey Studabaker | Chiropractor | 927 N Market St, Troy, OH 45373-1431 | 2016-01-13 |
| Find all providers in TROY | ||||
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| 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.