Individual
SHAINA ELIZABETH BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 COUNTRY CLUB DR STE 530B, JEFFERSON CITY, MO 65109-1060
(573) 606-7100
Mailing address
715 COUNTY ROAD 635, FREEBURG, MO 65035-2525
(573) 694-6605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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