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Individual

DR. KRISTOPHER DAVID BOSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Contact information

Practice address
8218 SEYMOUR JOHNSON AVE, LAS VEGAS, NV 89191-6152
(702) 652-9893
Mailing address
8218 SEYMOUR JOHNSON AVE, LAS VEGAS, NV 89191-6152
(702) 652-9893

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
026488
NY
225100000X
Physical Therapist
Primary
2299
NV
2255A2300X
Athletic Trainer
000605
NY
2255A2300X
Athletic Trainer
0506266
NV

Other

Enumeration date
07/27/2006
Last updated
08/09/2023
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