Bradon Boeckman, PTA, ATC/L

NPI 1790122802 · on the registry since 2013

Practice

Address: 1111 Sweitzer St
Greenville, OH 45331
Phone: (937) 638-0783
Organisation at this address: Bastrop Dialysis Llc
Dialysis Centers Of Dayton, Llc
Compunet Clinical Laboratories, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-02

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 Ohio