Individual
BRIAN T. BOERNER
Active
Individual
BRIAN T. BOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103448
KS
225100000X
Physical Therapist
2004017077
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29971
FREEDOM NETWORK
KS
01
—
29971025
BCBS
KS
01
—
5712220
FIRST HEALTH
KS
01
—
7907868
AETNA
KS
Enumeration date
05/21/2007
Last updated
07/10/2014
Update your record
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