Individual provider · NPI-1

Anna Bolton

Specialist/Technologist, Athletic Trainer · Birmingham, AL

NPI number1417514431
StatusActive
Last updated in NPPESMay 24, 2019

Details

NPI
1417514431
Entity type
Individual (NPI-1)
Name
Anna Bolton
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2019
Last updated
May 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

800 Lakeshore Dr
Birmingham, AL 35229-0001

Phone 205-726-2101

Mailing address

41 Overbrook Rd
Mountain Brk, AL 35213-4313

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