Most Relevant Information
Provider Data
| NPI Number: | 1003667338 |
| Provider Name: | OLIVIA R. BOUGHTON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 0019019166 |
Most Important Dates
| Enumeration Date: | 03/27/2024 |
| Last Updated: | 03/27/2024 |
Provider Practice Location
767 MADISON RD STE 108
CULPEPER
VA
227013340
Practice Location Phone/Fax
| Phone: | 4018622837 |
| Fax: |
Provider Mailing Location
307 BOCK ST
GORDONSVILLE
VA
229429177
Provider Mailing Phone/Fax
| Phone: | 4018622837 |
| Fax: |