Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADON THOMAS BOECKMAN, PTA, ATC/L
ActiveMR. BRADON THOMAS BOECKMAN, PTA, ATC/L is a Athletic Trainer healthcare provider located in GREENVILLE, Ohio. NPI 1790122802 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREENVILLE, OH
Registration Details
- NPI Number
- 1790122802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2013 (13.244779213216 yrs)
- Last Updated
- Jul 2, 2014
- License
-
AT.003824 (OH)
Practice Information
- Address
-
1111 SWEITZER STGREENVILLE, OH, 453311189Browse OH providers · Browse ZIP 45331
- Phone
- 9376380783
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.