NPI 1497782015

Guy Russell Boydstun, ATC

Practitioner Athletic Trainer Laie, HI

Practice location

Address: 55-220 Kulanui St Byuh Box 1968, Laie, HI 96762-1293
Phone: (808) 293-3729
Fax: (808) 293-3763
Mailing address: 53-549 Kamehameha Hwy. #210, Hauula, HI 96717

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Hawaii →

Registry record

NPI: 1497782015
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.