Search › Montana › 170300000X
Theresa Boomer, MS
NPI 1205111499 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4 Pine Ridge Cir
Clancy, MT 59634 - Phone
- (406) 422-0411
Registry record
- Primary taxonomy
- 170300000X
170300000X
- Also registered as
- 170300000X
- Licence states on file
- IL, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana