Individual
KAILEY BOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 OLD PINEY RD, JIM THORPE, PA 18229-1626
(570) 778-7028
Mailing address
920 OLD PINEY RD, JIM THORPE, PA 18229-1626
(570) 778-7028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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