Provider Demographics
NPI:1982649737
Name:BOETTCHER, APRIL LYNN (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:BOETTCHER
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:ASHBURNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01430-1500
Mailing Address - Country:US
Mailing Address - Phone:978-697-6430
Mailing Address - Fax:
Practice Address - Street 1:39 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:ASHBURNHAM
Practice Address - State:MA
Practice Address - Zip Code:01430-1500
Practice Address - Country:US
Practice Address - Phone:978-697-6430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1853174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist