MCKENLEY BOAM, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1629865639
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 425914 (UT) |
Frequently Asked Questions
NPI 1629865639 is the National Provider Identifier for MCKENLEY BOAM, ATC, a Specialist/Technologist - Athletic Trainer provider located in Provo, UT. This NPI was enumerated on April 22, 2025.
MCKENLEY BOAM, ATC practices at 1227 RIVERSIDE AVE APT 60, Provo, UT 84604.
Quick Facts
- NPI
- 1629865639
- Type
- Individual
- Enumerated
- Apr 22, 2025
- Last Updated
- Apr 22, 2025
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