Makenna Bolthouse

NPI #1225882772 in Walker, Michigan

Provider Information

NPI Number: 1225882772
Entity Type: Individual
Name: Makenna Bolthouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 12, 2024
Last Updated: Apr 12, 2024

Practice Location

Address: 2787 WILSON AVE NW
City: Walker
State: Michigan
ZIP Code: 49534-7510
Phone: (616) 915-2066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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