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Individual

DR. ASHLEY MICHELLE BOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
444 FOUR STATES DR STE 1, GALENA, KS 66739-4325
(620) 783-4441
(620) 783-4090
Mailing address
12072 W MCMILLAN RD, BOISE, ID 83713-2462
(208) 939-0533
(208) 939-3341

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05710
KS
225100000X
Physical Therapist
2013028760
MO
225100000X
Physical Therapist
PT-4232
ID

Other

Enumeration date
08/21/2013
Last updated
12/10/2018
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