Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY EUGENE BOSWELL, MA, ATC, LAT
Active Sole ProprietorMR. RANDY EUGENE BOSWELL, MA, ATC, LAT is a Athletic Trainer healthcare provider located in COEUR D ALENE, Idaho. NPI 1477780179 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1477780179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2009 (17.114758528682 yrs)
- Last Updated
- Jun 19, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 W GARDEN AVECOEUR D ALENE, ID, 838142161Browse ID providers · Browse ZIP 83814
- Phone
- 2087693217
- Fax
- 2087697779
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN I JESSUP | M.A. LIC. ATC | 1144408618 |
| JEFFREY SCOTT MORRISON | ATC, LAT | 1144588971 |
| MAKENNA LEE TURK | MAT, LAT, ATC | 1780106161 |
| MARIA ISABEL APARICIO | ATC, LAT | 1588159073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.