Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MARIE BOOM, LMT
ActiveJENNIFER MARIE BOOM, LMT is a Massage Therapist healthcare provider located in GRESHAM, Oregon. NPI 1164547634 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GRESHAM, OR
Registration Details
- NPI Number
- 1164547634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2007 (19.360840870776 yrs)
- Last Updated
- Nov 9, 2016
- License
-
7615 (OR)
Practice Information
- Address
-
24850 SE STARK STSUITE 200GRESHAM, OR, 970308316Browse OR providers · Browse ZIP 97030
- Phone
- 5033102622
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MS. IRMA BERNADETTE MOLINA | LMT | 1144307950 |
| VICKIE LEE STODDARD | LMT | 1750424511 |
| RICHARD CURTIS | — | 1881738391 |
| ANGELA G VANDENBOS | L.M.T. | 1972634061 |
| MR. SCOTT DAVID MICHAELS | L.AC., L.M.T. | 1619178787 |
| SARAH CARL | LMT | 1487846127 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.