Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Joseph Booms, OTRL

Individual provider Occupational Therapist · NPI 1962905596

Ethan Joseph Booms, OTRL is an Occupational Therapist in Saginaw, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

1447 N Harrison St
Saginaw, MI 48602-4727
Phone: (989) 583-6387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201009403 (MI)

Record details

NPI number1962905596
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorNo
NPI enumeratedMarch 9, 2018
Last updated in NPPESJune 16, 2018

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