Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB MITCHELL BOEHME, DPT
ActivePhysical Therapy Assistant · GOLD CANYON, AZ
Registration Details
- NPI Number
- 1952987190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2021 (5.1344380748188 yrs)
- Last Updated
- Sep 16, 2024
- License
-
31677 (AZ)
Practice Information
- Address
-
6021 S KINGS RANCH RD STE 5GOLD CANYON, AZ, 851184774Browse AZ providers · Browse ZIP 85118
- Phone
- 4809827948
- Fax
- 4809829145
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GOLD CANYON, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL HARVEY CHURCHMAN | PT | 1538157193 |
| MRS. DANIELLE BAILEY | — | 1568585339 |
| TANYA SHADLE | PT, DPT | 1215452719 |
| GRACE MARIE HANNA | DPT | 1144833864 |
| AMBER BRATCHER | DPT | 1144907742 |
| KIMBERLY DANG | DPT | 1720842297 |
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.