Most Relevant Information
Provider Data
| NPI Number: | 1003544750 |
| Provider Name: | BRYCE SCOTT BOEKE PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11462 |
Most Important Dates
| Enumeration Date: | 08/10/2022 |
| Last Updated: | 01/20/2023 |
Provider Practice Location
254 ROBERT C DANIEL JR PKWY STE 4B
AUGUSTA
GA
309090812
Practice Location Phone/Fax
| Phone: | 7067235795 |
| Fax: |
Provider Mailing Location
1200 CORPORATE DR STE 400
HOOVER
AL
352425424
Provider Mailing Phone/Fax
| Phone: | 8665180283 |
| Fax: |