Tailer Boutin
Tailer Boutin is a Massage Therapist in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2021.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
700 Union Pkwy Ste 1Ronkonkoma, NY 11779-7427
Phone: (516) 330-9817
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 032482 (NY) |
|---|
Record details
| NPI number | 1245814524 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 12, 2021 |
| Last updated in NPPES | May 12, 2021 |
| Certification date | May 9, 2021 |
| Mailing address | Po Box 997, Bethpage, NY 11714-0019 |
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