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General NPI Number Information
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NPI Number | 1649747270
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Entity Type | Individual
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Provider Name | ALYSSA M BOYER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 10590 N PORT WASHINGTON RD
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City | MEQUON
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State | WI
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Zip | 53092-5537
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Country | US
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Telephone | 262-375-1075
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Fax | 262-375-4975
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Provider Business Mailing Address
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Address Line | 10405 N GREENSIDE CT
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City | MEQUON
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State | WI
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Zip | 53092-5109
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Country | US
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Telephone | 815-893-8480
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Fax | 815-893-8481
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14400-24
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License Number State | WI
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