Andrew David Boehnke, MS, ATC
Specialist/Technologist, Athletic Trainer in Sioux Falls, SD. Individual provider (NPI-1).
NPI number1649322942
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649322942
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andrew David Boehnke
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0209 | SD | Yes |
Practice location
2501 S GrangeElmen Center
Sioux Falls, SD 57197-0002
Phone 605-274-4332 · Fax 605-274-5298
Mailing address
6905 W 68th StSioux Falls, SD 57106-8831
Phone 605-360-0231
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