Provider Demographics
NPI:1598198939
Name:BOYER, NATALIE DENISE (CMT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:DENISE
Last Name:BOYER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 ABBOTT RD
Mailing Address - Street 2:2072 BEDSPACE C
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8499
Mailing Address - Country:US
Mailing Address - Phone:616-902-9037
Mailing Address - Fax:
Practice Address - Street 1:201 1/2 E GRAND RIVER AVE
Practice Address - Street 2:SUITE 19
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4323
Practice Address - Country:US
Practice Address - Phone:517-203-1113
Practice Address - Fax:808-748-3003
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist