MEDICARE: BOHO PAIN MANAGEMENT AND REHABILITATION LLC

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	261QR0400X	Rehabilitation Clinic/Center	919-026	WI

General Provider Information

NPI Number	:	1356584932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOHO PAIN MANAGEMENT AND REHABILITATION LLC

Provider Business Mailing Address
First Line	:	3715 LINDA LN
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53405-4827
Country	:	US
Telephone Number	:	262-554-9465
Fax Number	:	262-554-6354

Provider Business Practice Location Address
First Line	:	3701 DURAND AVE
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53405-4458
Country	:	US
Telephone Number	:	262-497-8798
Fax Number	:	262-554-6354

Authorized Official
Title or Position	:	PRESIDENT AND OWNER
Name	:	DAVID JOHN BOHO
Credential	:	O.T.R.
Telephone Number	:	262-497-8798

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	04/15/2009

Similar Medicare Providers

1912981796 — MR. DONALD M JACOBSON MD
Practice Location Address:

3701 DURAND AVE , SUITE 325
RACINE, WI
53405-4458

Practice Phone: 262-598-9030
Practice Fax: 262-598-9032

1134288392 — DR. TAMMY LYNN ZIMMEL PSYD
Practice Location Address:

3701 DURAND AVE , SUITE 325
RACINE, WI
53405-4458

Practice Phone: 262-554-9846
Practice Fax: 262-598-9032

1164723409 — DR. MARIE M MILLER-CHRISTENSEN PSY.D.
Practice Location Address:

3701 DURAND AVE , SUITE 325
RACINE, WI
53405-4458

Practice Phone: 262-496-4277
Practice Fax:

1841556529 — DR. KATY MARGARET TOMCZAK D.C.
Practice Location Address:

3701 DURAND AVE , SUITE 145
RACINE, WI
53405-4458

Practice Phone: 262-554-5458
Practice Fax: 262-554-7465

1598236143 — DR. JENNIFER SYKES DC
Practice Location Address:

3701 DURAND AVE STE 415
RACINE, WI
53405-4458

Practice Phone: 545-826-2554
Practice Fax:

1922967736 — EARS AND EMPATHY
Practice Location Address:

1020 WEST BLVD STE 105
RACINE, WI
53405-2502

Practice Phone: 414-877-7004
Practice Fax:

Directions to “BOHO PAIN MANAGEMENT AND REHABILITATION LLC ” 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.