Provider Demographics
NPI:1023308103
Name:BOEHR, BETH RENE (LPTA)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:RENE
Last Name:BOEHR
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 W KIBLER ST
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:OH
Mailing Address - Zip Code:45817-1067
Mailing Address - Country:US
Mailing Address - Phone:419-358-4526
Mailing Address - Fax:
Practice Address - Street 1:8580 TOWNSHIP ROAD 237
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8507
Practice Address - Country:US
Practice Address - Phone:567-525-4660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH07610225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant