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NPI Code Detail

MEDICARE: JOSHUA D BOHRER CMT

MEDICARE: JOSHUA D BOHRER CMT
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
1225700000XMassage Therapist86957CA

General Provider Information

NPI Number : 1558227710
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA D BOHRER CMT
Provider Business Mailing Address
First Line : 283 N LOWENA DR
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5795
Country : US
Telephone Number : 619-626-4038
Fax Number :
Provider Business Practice Location Address
First Line : 283 N LOWENA DR
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5795
Country : US
Telephone Number : 619-626-4038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2025
Last Update Date : 12/31/2025

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Directions to “ JOSHUA D BOHRER CMT” Practice Location

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