Individual provider · Type 1 NPI
Timothy J. Bolen, PT
Specialist · Newton, KS
NPI number
1104191899
Active
Practice location
2311 S Kansas Rd
Newton, KS 67114-9032
Fax (316) 283-7189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 11-01593 (KS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104191899
Timothy J. Bolen, PT's National Provider Identifier is 1104191899, issued on Mar 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newton, KS. The record was last updated on Mar 14, 2012.