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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAISIE BOEHM, LAT

Active

Athletic Trainer · LAKE GENEVA, WI

Registration Details

NPI Number
1851928329
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2020 (6.0751809761178 yrs)
Last Updated
Mar 25, 2020

Practice Information

Address
700 GENEVA PKWY N
LAKE GENEVA, WI, 531474594
Browse WI providers · Browse ZIP 53147
Phone
2622493529
Fax
2622497955
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LAKE GENEVA, WI

Name Credential NPI
RYAN P ROMEO ATC 1386812105
AMANDA KUTIS LAT 1578904223
SARA BADER ATC, LAT 1841699600
REBECCA R FALKINER MS, LAT, ATC 1528698412
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.