Jacob Boese

NPI #1942898028 in Longmont, Colorado

Provider Information

NPI Number: 1942898028
Entity Type: Individual
Name: Jacob Boese
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 5, 2021
Last Updated: Dec 1, 2024

Practice Location

Address: 1551 PROFESSIONAL LN UNIT 145
City: Longmont
State: Colorado
ZIP Code: 80501-6968
Phone: (720) 494-3290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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