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NPI Code Detail

MEDICARE: ASHLEY MARIE BOEGLIN

MEDICARE: ASHLEY MARIE BOEGLIN
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
1225200000XPhysical Therapy Assistant06004038AIN

General Provider Information

NPI Number : 1013210442
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE BOEGLIN
Provider Business Mailing Address
First Line : 322 E 5TH ST
Second Line :
City : FERDINAND
State : IN
Zip : 47532-9770
Country : US
Telephone Number : 812-306-4758
Fax Number :
Provider Business Practice Location Address
First Line : 118 MEDICAL DR
Second Line :
City : CARMEL
State : IN
Zip : 46032-3323
Country : US
Telephone Number : 317-843-4590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2010
Last Update Date : 03/10/2023

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Directions to “ ASHLEY MARIE BOEGLIN ” Practice Location

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