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IndividualActive

Mckennizie Boodram

LAT

Contractor

NPI: 1033586003Desoto, Texas, 75115(469) 260-8872Female

About Mckennizie Boodram

Mckennizie Boodram, LAT, is a female healthcare professional specializing in Contractor, registered under National Provider Identifier (NPI) number 1033586003. Their primary practice is located at 1525 MOUNTAIN LAUREL LN, Desoto, Texas 75115.

Patients can reach the office at (469) 260-8872. Mckennizie Boodram has been NPI-registered since 2015.

Doctor Details

Identity & Credentials

NPI Number
1033586003
Entity Type
Individual
First Name
Mckennizie
Last Name
Boodram
Credential
LAT
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1525 MOUNTAIN LAUREL LN
City
Desoto
State
Texas
ZIP
75115-5394
Country
United States
Phone
(469) 260-8872

Specialty & Taxonomy

Primary Specialty
Contractor
Classification
Contractor
Taxonomy Code
171W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1525 MOUNTAIN LAUREL LN
City
DESOTO
State
TX
ZIP
751155394

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mckennizie Boodram's NPI number?
Mckennizie Boodram's National Provider Identifier (NPI) is 1033586003. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mckennizie Boodram specialize in?
Mckennizie Boodram specializes in Contractor.
Where is Mckennizie Boodram located?
Mckennizie Boodram practices at 1525 MOUNTAIN LAUREL LN, Desoto, Texas 75115. You can reach them by phone at (469) 260-8872.
Does Mckennizie Boodram accept Medicare?
Based on available data, Mckennizie Boodram is not currently enrolled in the Medicare program.
Does Mckennizie Boodram offer telehealth or virtual visits?
Mckennizie Boodram does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mckennizie Boodram is 1033586003.