NPI 1811578636

Parker Benjamin Boltz

Practitioner Rehabilitation Counselor Greeley, CO

Practice location

Address: 1300 N 17th Ave, Greeley, CO 80631-9584
Phone: (970) 347-2120
Mailing address: 1300 N 17th Ave # 80631, Greeley, CO 80631-9584

Registered specialties (2)

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1811578636
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2021
Record last updated: 23 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.