Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN BOUTIN, O.T.
Active Sole ProprietorOccupational Therapist · TUPELO, MS
Registration Details
- NPI Number
- 1780740456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.313813608632 yrs)
- Last Updated
- Jul 9, 2007
- License
-
OT1239 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 CLARK AVE # ATUPELO, MS, 388042801Browse MS providers · Browse ZIP 38804
- Phone
- 6628400535
- Fax
- 6628427915
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in TUPELO, MS
| Name | Credential | NPI |
|---|---|---|
| MR. NIKOLAS DOYLE CARNATHAN | OTR/L | 1437140415 |
| MR. TRACY GRAHAM | O.T. | 1386700748 |
| MRS. AMANDA STREET | OT | 1235287517 |
| SHEA SEGARS HARMON | OT | 1154469906 |
| MS. DEBRA PASMORE BRADSHER | OTR | 1063551679 |
| MISS JASMYNE SEARCY | MOT | 1619149861 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.