JENNIFER BOOM, LMT
Massage Therapist
Active
Individual
NPI: 1164547634
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 7615 (OR) |
Frequently Asked Questions
NPI 1164547634 is the National Provider Identifier for JENNIFER BOOM, LMT, a Massage Therapist provider located in Gresham, OR. This NPI was enumerated on March 21, 2007.
JENNIFER BOOM, LMT practices at 24850 SE STARK ST, SUITE 200, Gresham, OR 97030.
Quick Facts
- NPI
- 1164547634
- Type
- Individual
- Enumerated
- Mar 21, 2007
- Last Updated
- Nov 9, 2016
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