Individual
MRS. REGHAN BOEHMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
4622 E PALMETTO ST, FLORENCE, SC 29502
(843) 661-1358
(843) 661-4645
Mailing address
805 WOOD DUCK LN, FLORENCE, SC 29505-3934
(843) 992-9057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1068
SC
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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