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TAILER BOUTIN
NPI 1245814524
Massage Therapist in Ronkonkoma, NY

Active since May 12, 2021
700 UNION PKWY STE 1, RONKONKOMA, NY 11779(516) 330-9817 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tailer Boutin NPPES

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

TAILER BOUTIN (NPI 1245814524) is an individual massage therapist in Ronkonkoma, New York, licensed in New York (032482) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1245814524
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTAILER BOUTIN
Location Address700 UNION PKWY STE 1Ronkonkoma, NY 11779-7427
Mailing AddressPo Box 997Bethpage, NY 11714-0019
Phone(516) 330-9817
Sole ProprietorNo
Enumeration DateMay 12, 2021
NPPES CertifiedMay 9, 2021
✔ NPI 1245814524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 032482
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
700 UNION PKWY STE 1, Ronkonkoma, NY 11779
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Other Providers at the Same Location NPPES

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

MARYANNE BOUNAPARTE LMT
Massage Therapist
700 UNION PKWY STE 1
RONKONKOMA, NY 11779
Suffolk County (631) 364-2535

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 Tailer Boutin's NPI number?

The NPI number for Tailer Boutin is 1245814524. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Tailer Boutin located?

Tailer Boutin practices at 700 Union Pkwy Ste 1, Ronkonkoma, NY 11779. The listed phone number is (516) 330-9817.

What is Tailer Boutin's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Tailer Boutin was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.