Nikolos William Boehmer in Southport - Physical Therapist
Nikolos William Boehmer - NPI 1174502645
Nikolos William Boehmer is a Physical Therapist in Southport, North Carolina. Nikolos William Boehmer practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Nikolos William Boehmer is 1174502645. The last update date is 2021-03-24.
Nikolos William Boehmer's current location address is 4330 Southport Supply Road, Southport, North Carolina. You can contact this provider via phone number 9104570113 and fax number 9104570114. The mailing address for Nikolos William Boehmer is 4330 Southport Supply Road, Southport, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nikolos William Boehmer |
|---|---|
| Address | 4330 Southport Supply Road, Southport, North Carolina |
| Phone Number | 9104570113 |
| Fax Number | 9104570114 |
| Sole Proprietor | N |
| Credentials | PT, DPT |
NPI Number Detail
| NPI Number | 1174502645 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2021-03-24 |
Provider Mailing Address Detail
| Address | 4330 Southport Supply Road |
|---|---|
| City | Southport |
| State | North Carolina (NC) |
| Post Code | 28461 |
| Phone Number | 9104570113 |
| Fax Number | 9104570114 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 10175 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identification code assigned to Nikolos William Boehmer by the Centers for Medicare & Medicaid Services?
The Nikolos William Boehmer has been issued the NPI (National Provider Identifier) 1174502645, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Nikolos William Boehmer?
The Nikolos William Boehmer is situated at 4330 Southport Supply Road, in the city of Southport, state of NC, with the zip code 28461.
What is the Nikolos William Boehmer's specialty and taxonomy code?
The Nikolos William Boehmer's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
When was the Nikolos William Boehmer's 1174502645 issued?
The Nikolos William Boehmer's 1174502645 was issued on 2006-01-12.
As of what date was the information regarding Nikolos William Boehmer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nikolos William Boehmer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-24.