Provider Demographics
NPI:1447429253
Name:BOYER, KARMA JENNIFER (PT, DPT, COMT)
Entity Type:Individual
Prefix:MS
First Name:KARMA
Middle Name:JENNIFER
Last Name:BOYER
Suffix:
Gender:F
Credentials:PT, DPT, COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 COHASSET RD
Mailing Address - Street 2:STE 40
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2248
Mailing Address - Country:US
Mailing Address - Phone:530-345-1368
Mailing Address - Fax:530-343-2495
Practice Address - Street 1:250 COHASSET RD
Practice Address - Street 2:STE 40
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2248
Practice Address - Country:US
Practice Address - Phone:530-345-1368
Practice Address - Fax:530-343-2495
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT23741225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT23741Medicare PIN