Individual
JOSHUA SCOTT BOEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
407 N 8TH ST, MOUNT HOREB, WI 53572-1872
(608) 470-4022
Mailing address
3015 MAPLE VALLEY DR APT 302, MADISON, WI 53719-3188
(920) 540-0050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2915
WI
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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