Ryan Boeckmann
NPI #1144850280 in Belleville, Illinois
Provider Information
- NPI Number
- 1144850280
- Entity Type
- Individual
- Name
- Ryan Boeckmann
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jan 16, 2020
- Last Updated
- Jan 16, 2020
Practice Location
- Address
- 1929 CEDARWOOD TRL
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-7848
- Phone
- (618) 234-4619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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