Provider Demographics
NPI:1225459738
Name:BOYD, ALICIA J (CNIM)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:J
Last Name:BOYD
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:812 AVIS DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-9649
Mailing Address - Country:US
Mailing Address - Phone:800-638-7564
Mailing Address - Fax:734-994-8457
Practice Address - Street 1:812 AVIS DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-9649
Practice Address - Country:US
Practice Address - Phone:800-638-7564
Practice Address - Fax:734-994-8457
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic