Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Boehm

Individual provider Physical Therapy Assistant · NPI 1285912105

Kelly Boehm is a Physical Therapy Assistant in Peshtigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011

Practice location Address checks out

701 Willow St
Peshtigo, WI 54157-1165
Phone: (715) 582-3962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1786-19 (WI)

Record details

NPI number1285912105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2011
Last updated in NPPESJuly 26, 2011

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