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NPI Code Detail

MEDICARE: NATALIE DENISE BOYER CMT

MEDICARE: NATALIE DENISE BOYER CMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1598198939
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE DENISE BOYER CMT
Provider Business Mailing Address
First Line : 2525 ABBOTT RD
Second Line : 2072 BEDSPACE C
City : EAST LANSING
State : MI
Zip : 48823-8499
Country : US
Telephone Number : 616-902-9037
Fax Number :
Provider Business Practice Location Address
First Line : 201 1/2 E GRAND RIVER AVE
Second Line : SUITE 19
City : EAST LANSING
State : MI
Zip : 48823-4323
Country : US
Telephone Number : 517-203-1113
Fax Number : 808-748-3003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2013
Last Update Date : 08/20/2013

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Directions to “ NATALIE DENISE BOYER CMT” Practice Location

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