Wyatt Boothby-shoemaker is a student in an organized health care education training program in Ypsilanti, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Wyatt Boothby-shoemaker NPI is 1326781220. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5333 MCAULEY DR RM 2115
YPSILANTI, MI
ZIP 48197-097
Phone: (734) 712-3971
The NPI 1326781220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/18/2022 and was last updated on 4/18/2022.