Individual provider · Type 1 NPI

Jordan Boboltz, OTR, ATP

Other Technician · Dallas, TX

NPI number 1477288314 Active

Practice location

1221 Profit Dr
Dallas, TX 75247-3919

Call (469) 404-1113 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1477288314

Jordan Boboltz, OTR, ATP's National Provider Identifier is 1477288314, issued on Jul 22, 2022. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Dallas, TX. The record was last updated on Jul 22, 2022.