Individual
KEVIN JOHN BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
670 E 3900 S STE 210, SALT LAKE CITY, UT 84107-1981
(801) 266-3979
(801) 270-8587
Mailing address
165 S MAIN ST, TOOELE, UT 84074-2127
(435) 833-0725
(435) 882-2768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8579941-2401
UT
Other
Enumeration date
09/10/2013
Last updated
09/18/2023
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