JORDAN BOBOLTZ OTR, ATP
NPI 1477288314
Technician, Other in Dallas, TX

Q: What is the provider's specialty?

The provider's specialty is Technician, Other with taxonomy code 247200000X.

Active since July 22, 2022

1221 PROFIT DR, DALLAS, TX 75247(469) 404-1113 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jordan Boboltz Otr, Atp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN BOBOLTZ OTR, ATP (NPI 1477288314) is an individual technician, other provider in Dallas, Texas and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1477288314

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameJORDAN BOBOLTZCredential: OTR, ATP

Location Address1221 PROFIT DRDallas, TX 75247-3919

Mailing Address1221 Profit DrDallas, TX 75247-3919

Phone(469) 404-1113

Sole ProprietorNo

Enumeration DateJuly 22, 2022

NPPES CertifiedJuly 22, 2022

✔ NPI 1477288314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

1221 PROFIT DR, Dallas, TX 75247

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