Jenna Boerboom in Renton - Physical Therapist
Jenna Boerboom - NPI 1669665626
Jenna Boerboom is a Physical Therapist in Renton, Washington. Jenna Boerboom practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jenna Boerboom is 1669665626. The last update date is 2017-05-01.
Jenna Boerboom's current location address is 17650 140th Ave Se, Renton, Washington. You can contact this provider via phone number 4254300700 and fax number 4254300710. The mailing address for Jenna Boerboom is 17650 140th Ave Se, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenna Boerboom |
|---|---|
| Address | 17650 140th Ave Se, Renton, Washington |
| Phone Number | 4254300700 |
| Fax Number | 4254300710 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1669665626 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2017-05-01 |
Provider Mailing Address Detail
| Address | 17650 140th Ave Se |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980586814 |
| Phone Number | 4254300700 |
| Fax Number | 4254300710 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT00010556 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G8870253 | WA | MEDICARE ID |
Post Comment/ Review Below
What is the Jenna Boerboom's 1669665626?
The Jenna Boerboom's NPI (National Provider Identifier) Number is 1669665626. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jenna Boerboom's facilities are situated?
The facilities of Jenna Boerboom are physically located at the following address: 17650 140Th Ave Se, Renton, WA, 980586814.
What is Jenna Boerboom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jenna Boerboom is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date was the 1669665626 assigned to Jenna Boerboom?
The Jenna Boerboom was issued its 1669665626 on 2007-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jenna Boerboom most recently updated or refreshed?
The details pertaining to the Jenna Boerboom, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-01.
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