# BOEHLY CHIROPRACTIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elevate Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467675207
- **Authorized official:** DR. CHARLES RICHARD BOEHLY DC (OWNER)
- **Authorized official phone:** (585) 271-5590

## Contact information

- **Practice address:** 779 UNIVERSITY AVE, ROCHESTER, NY 14607-1226
- **Practice address phone:** (585) 271-5590
- **Practice address fax:** (585) 271-5593
- **Mailing address:** 779 UNIVERSITY AVE, ROCHESTER, NY 14607-1375
- **Mailing address phone:** (585) 271-5590
- **Mailing address fax:** (585) 271-5593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009295 | NY | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 11/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G0188558590 | EXCELLUS BCBS GROUP ID \# | NY |
