Ryan Boeckmann

Physical Therapy Assistant · Belleville, IL

Individual Active NPI

NPI number 1144850280

Practice location

1929 Cedarwood Trl
Belleville, IL 62226-7848
Phone
(618) 234-4619

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NPI record

NPI
1144850280
Entity type
Individual (Type 1)
Enumeration date
January 16, 2020
Last updated
January 16, 2020
Certified
January 16, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X — —

Mailing address

630 S 6TH St
Breese, IL 62230-2041
Phone
(618) 830-3890

About Ryan Boeckmann

Ryan Boeckmann is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1929 Cedarwood Trl, Belleville, IL 62226-7848. The NPI number 1144850280 was assigned on January 16, 2020 and the record was last updated on January 16, 2020.

Frequently asked questions

What is the NPI number of Ryan Boeckmann?

The NPI number is 1144850280.

What is the phone number of Ryan Boeckmann?

The phone number listed for the practice location is (618) 234-4619.

Where is Ryan Boeckmann located?

1929 Cedarwood Trl, Belleville, IL 62226-7848.

What is the taxonomy code for Ryan Boeckmann?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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