Healthcare Provider Details

I. General information

NPI: 1578486734
Provider Name (Legal Business Name): JEANNETTE BOSTEDT THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 HWY 395
MINDEN NV
89423
US

IV. Provider business mailing address

PO BOX 94
GENOA NV
89411-0094
US

V. Phone/Fax

Practice location:
  • Phone: 408-313-8421
  • Fax:
Mailing address:
  • Phone: 408-313-8421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: JEANNETTE MESZAROS BOSTEDT
Title or Position: OWNER
Credential: LCSW
Phone: 408-313-8421