SearchIdaho2255A2300X

Randy Boswell, MA, ATC, LAT

NPI 1477780179 · on the registry since 2009 · sole proprietor

Practice

Address
1000 W Garden Ave
Coeur D Alene, ID 83814
Phone
(208) 769-3217
Fax
(208) 769-7779
Clinicians at this address
3

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Sex
Male
Record last updated
2009-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho