Individual provider · Type 1 NPI

Savannah Boomstra

Rehabilitation Practitioner · Byron Center, MI

NPI number 1689125916 Active

Practice location

1662 Morning Dew Dr SW, Apt. 2
Byron Center, MI 49315-8439

Mailing address

620 Michigan St NE, Apt. 2
Grand Rapids, MI 49503-3449

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1689125916

Savannah Boomstra's National Provider Identifier is 1689125916, issued on Oct 21, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Byron Center, MI. The record was last updated on Oct 21, 2016.