Individual
JASON BOATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
601 N MAIN ST, BOAZ, AL 35957-1239
(256) 404-3343
Mailing address
601 N MAIN ST, BOAZ, AL 35957-1239
(256) 404-3343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2467
AL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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