KELLY BOEHM
Physical Therapy Assistant
Active
Individual
NPI: 1285912105
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 1786-19 (WI) |
Frequently Asked Questions
NPI 1285912105 is the National Provider Identifier for KELLY BOEHM, a Physical Therapy Assistant provider located in Peshtigo, WI. This NPI was enumerated on July 26, 2011.
KELLY BOEHM practices at 701 WILLOW ST, Peshtigo, WI 54157.
Quick Facts
- NPI
- 1285912105
- Type
- Individual
- Enumerated
- Jul 26, 2011
- Last Updated
- Jul 26, 2011
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