Provider Demographics
NPI:1790491678
Name:BOYD, PARKER (OTS)
Entity Type:Individual
Prefix:MS
First Name:PARKER
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:OTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1552
Mailing Address - Country:US
Mailing Address - Phone:360-798-3857
Mailing Address - Fax:
Practice Address - Street 1:1838 3RD ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1552
Practice Address - Country:US
Practice Address - Phone:360-798-3857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program