Individual
JENNIFER C BOODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6769 COURTLAND DR NE, ROCKFORD, MI 49341-7242
(616) 863-9482
Mailing address
3371 HAMPTON DOWNS DR SE, KENTWOOD, MI 49512-8091
(269) 876-8242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006322
MI
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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