NPI 1871852335

Brant Michael Boekelman, ATC

Practitioner Athletic Trainer Fairmont, MN

Practice location

Address: 717 S State St, Fairmont, MN 56031-4469
Phone: (507) 238-4949
Fax: (507) 238-3385

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2314 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1871852335
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2012
Record last updated: 3 May 2012

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.