Doctor Name: | ERINLEE BODEN |
NPI Number: | 1932182243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, DPT |
License Number: | PT24599 |
Business Practice Address: | 3181 West 9000 South #103 West Jordan, UT - 840888623 |
Business Phone Number: | 8015611061 |
Business Fax Number: | 8015611570 |
Mailing Address: | 3181 West 9000 South #103, WEST JORDAN |
State: | UT |
Postal Code: | 840888623 |
Phone Number: | 8015611061 |
Fax Number: | 8015611570 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 08/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT24599 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |