John Boehnke, ATC
Specialist/Technologist, Athletic Trainer in Sioux Falls, SD. Individual provider (NPI-1).
NPI number1245894880
StatusActive
Last updated in NPPESApr 29, 2019
Details
- NPI
- 1245894880
- Entity type
- Individual (NPI-1)
- Name
- John Boehnke
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2019
- Last updated
- Apr 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0531 | SD | Yes |
Practice location
501 N Sycamore AveSioux Falls, SD 57110-5752
Phone 605-367-7696
Mailing address
705 S Annway DrSioux Falls, SD 57103-2564
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