Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLENE KAY BOUMA, PTA
Active Sole ProprietorCHARLENE KAY BOUMA, PTA is a Community Health Worker healthcare provider located in CONRAD, Montana. NPI 1699044693 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · CONRAD, MT
Registration Details
- NPI Number
- 1699044693
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2011 (14.603866002365 yrs)
- Last Updated
- Dec 20, 2011
- License
-
1581 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
805 SUNSET BLVDCONRAD, MT, 594251717Browse MT providers · Browse ZIP 59425
- Phone
- 4062712295
- Primary Specialty
-
Community Health Worker
172V00000X
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.