Individual
JORDAN BOOGERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1552 COUNTRY CLUB PLAZA DR UNIT 1570, SAINT CHARLES, MO 63303-3859
(636) 724-1127
Mailing address
10017 SANTA ROSA DR, ATOKA, TN 38004-7209
(559) 836-9309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025028557
MO
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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