Individual
BROOKE C BOEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1801 N. 98TH STREET, CHILDREN'S MERCY VILLAGE WEST, KANSAS CITY, KS 66111-1869
(913) 264-3000
(913) 264-9940
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05755
KS
225100000X
Physical Therapist
2017030472
MO
Other
Enumeration date
08/30/2017
Last updated
10/16/2018
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