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DR. SHANE D. BOUCHER D.C.
NPI 1093805178
Chiropractor in University Place, WA

Active since October 13, 2006
7307 40TH ST W STE B, UNIVERSITY PLACE, WA 98466(253) 753-6204 Get Directions Write a Review

NPPES record last updated: January 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2023, Dec 27, 2022 (2 updates tracked since 2022).

About Dr. Shane D. Boucher D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANE D. BOUCHER D.C. (NPI 1093805178) is an individual chiropractor in University Place, Washington, licensed in Texas (11178) and active in the NPI registry since October 2006. He maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1093805178
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE D. BOUCHERCredential: D.C.
Location Address7307 40TH ST W STE BUniversity Place, WA 98466-4385
Mailing Address4250 Alturus St WUniversity Place, WA 98466-6612 · (281) 881-4683 · Fax (281) 842-7701
Phone(253) 753-6204
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 14, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2023
✔ NPI 1093805178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in TX · 11178✔ Licensed in WA · CH00034742✔ Licensed in OR · 713689
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
7307 40TH ST W STE B, University Place, WA 98466
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Secondary Practice Location 1

Location 11310 S Union Ave Ste A202Tacoma, WA 98405-1907 · Phone (253) 507-4631 · Fax (253) 507-4672

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYSIDE CHIROPRACTIC, PLLC
Chiropractor
7307 40TH ST W STE B
UNIVERSITY PLACE, WA 98466
Pierce County (253) 753-6204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Boucher's NPI number?

The NPI number for Shane Boucher is 1093805178. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Shane Boucher located?

Shane Boucher practices at 7307 40th St W Ste B, University Place, WA 98466. The listed phone number is (253) 753-6204.

What is Shane Boucher's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Shane Boucher was last updated on January 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.