Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grace Etrel Boutin

Individual provider Speech-Language Pathologist · NPI 1528998226

Grace Etrel Boutin is a Speech-Language Pathologist in Omro, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

455 Fox Trl
Omro, WI 54963-1198
Phone: (920) 303-2334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1528998226
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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