Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERCY BOTCHWAY, ATC
Active Sole ProprietorSports Medicine (EM) · SHOREVIEW, MN
Registration Details
- NPI Number
- 1942856521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2019 (6.6979979745228 yrs)
- Last Updated
- Aug 10, 2019
- License
-
2681 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
956 CARMEL CTSHOREVIEW, MN, 551265882Browse MN providers · Browse ZIP 55126
- Phone
- 6518909103
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.