Jordan Boogerd, PT
Physical Therapist in Saint Charles, MO. Individual provider (NPI-1).
NPI number1376434019
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1376434019
- Entity type
- Individual (NPI-1)
- Name
- Jordan Boogerd
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2025028557 | MO | Yes |
Practice location
1552 Country Club Plaza Dr Unit 1570Saint Charles, MO 63303-3859
Phone 636-724-1127
Mailing address
10017 Santa Rosa DrAtoka, TN 38004-7209
Phone 559-836-9309
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All 141 Physical Therapist providers in Saint Charles · All 2,178 providers in Saint Charles
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