Shane Boucher, D.C.
NPI 1093805178 · Chiropractor · University Place, WA
Shane Boucher, D.C. is a Chiropractor provider in University Place, WA (NPI 1093805178).
Provider details
- NPI number
- 1093805178
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- CH00034742 (WA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2023-01-14
- Certified
- 2023-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.