Individual
MRS. JACKIE BODWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., RRT
Contact information
Practice address
910 RANCH RD, CONNERSVILLE, IN 47331-1238
(317) 538-3737
Mailing address
910 RANCH RD, CONNERSVILLE, IN 47331-1238
(317) 538-3737
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
30005122A
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
30005122A
IN
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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