Provider Demographics
NPI:1023351103
Name:BOEHMLER, KELLY E (PT)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:E
Last Name:BOEHMLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 ARROWHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:08230-1175
Mailing Address - Country:US
Mailing Address - Phone:609-602-9244
Mailing Address - Fax:609-653-1258
Practice Address - Street 1:67 HIGBEE AVE
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2323
Practice Address - Country:US
Practice Address - Phone:609-204-4849
Practice Address - Fax:609-653-1258
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD25990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist