Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY J BOLEN, PT
Active Sole ProprietorSpecialist · NEWTON, KS
Registration Details
- NPI Number
- 1104191899
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2012 (14.125559199721 yrs)
- Last Updated
- Mar 14, 2012
- License
-
11-01593 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2311 S KANSAS RDNEWTON, KS, 671149032Browse KS providers · Browse ZIP 67114
- Phone
- 3162837187
- Fax
- 3162837189
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.