Provider Demographics
NPI:1295547081
Name:BOHEMIER, MORGAN NICHOLE (CSCS)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:NICHOLE
Last Name:BOHEMIER
Suffix:
Gender:F
Credentials:CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1778 FORREST ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-9437
Mailing Address - Country:US
Mailing Address - Phone:828-461-5550
Mailing Address - Fax:
Practice Address - Street 1:1311 S 5TH ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76798-1435
Practice Address - Country:US
Practice Address - Phone:254-710-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program