Individual
BEN BOECKLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 NW R D MIZE RD STE B203, BLUE SPRINGS, MO 64014-2540
(816) 220-0223
Mailing address
220 NW R D MIZE RD STE B203, BLUE SPRINGS, MO 64014-2540
(816) 220-0223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019029985
MO
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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