MEDICARE: CARSYN ROSE BOSWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	513906498	NM
2	390200000X	Student in an Organized Health Care Education/Training Program	513906498	NM

General Provider Information

NPI Number	:	1104644871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARSYN ROSE BOSWELL

Provider Business Mailing Address
First Line	:	5414 OLD CAVERN HWY
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-9176
Country	:	US
Telephone Number	:	208-360-1494
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 MAIN ST
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787-1181
Country	:	US
Telephone Number	:	402-375-7321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

Similar Medicare Providers

1508831736 — MR. GREG W SEIER ATC
Practice Location Address:

1111 MAIN ST
WAYNE, NE
68787-1181

Practice Phone: 402-375-7582
Practice Fax:

1750356952 — KRISTI R HINNERICHS ATC, CSCS
Practice Location Address:

1111 MAIN ST
WAYNE, NE
68787-1181

Practice Phone: 402-375-7310
Practice Fax:

1699740803 — MR. MARK THOMAS SCHOENFELDER ATC
Practice Location Address:

1111 MAIN ST , WILDCAT SPORTS MEDICINE CENTER
WAYNE, NE
68787-1181

Practice Phone: 402-375-7582
Practice Fax:

1073083457 — JADE TAYLIR JOHNSON ATC
Practice Location Address:

1111 MAIN ST
WAYNE, NE
68787-1181

Practice Phone: 402-375-7162
Practice Fax:

1093662595 — BREANN MITCHELL
Practice Location Address:

209 S MAIN ST
WAYNE, NE
68787-1946

Practice Phone: 402-375-4884
Practice Fax:

1437016136 — COR THERAPEUTIC SERVICES, LLC
Practice Location Address:

120 W 2ND ST STE 3
WAYNE, NE
68787-1957

Practice Phone: 402-500-6870
Practice Fax: 402-500-6871

Directions to “ CARSYN ROSE BOSWELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.