Search › Wisconsin › 171100000X
Samantha Boehnlein, D.AC, L.AC, CHC
NPI 1639774458 · on the registry since 2020 · sole proprietor
Practice
- Address
- N7640 County Road Wh
Fond Du Lac, WI 54937 - Phone
- (312) 684-0332
- Organisation at this address
- Phoenix Rising Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin