Individual provider · Type 1 NPI
McKennizie Boodram, LAT
Contractor · Desoto, TX
Practice location
1525 Mountain Laurel Ln
Desoto, TX 75115-5394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | AT6271 (TX) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
Other contractor providers in Desoto
About NPI 1033586003
McKennizie Boodram, LAT's National Provider Identifier is 1033586003, issued on Aug 26, 2015. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Desoto, TX. The record was last updated on Aug 26, 2015.