Individual
HALEY KAY BOSHART
Active
Individual
HALEY KAY BOSHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3735
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730343559
CHILDREN'S RESPITE CARE CENTER
NE
Enumeration date
06/29/2017
Last updated
10/17/2019
Update your record
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