Individual
DR. TIFFANY ANN BOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Contact information
Practice address
6700 ANTIOCH RD STE 430, MERRIAM, KS 66204-1278
(913) 652-9229
Mailing address
6700 ANTIOCH RD STE 430, MERRIAM, KS 66204-1278
(913) 652-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02889
KS
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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