Individual
JUSTIN ROBERT BOCKHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1664 N VIRGINIA ST, RENO, NV 89557-0001
(408) 505-7244
Mailing address
664 N VIRGINIA STREET, RENO, NV 89557-0001
(408) 505-7244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
F4886105
CA
Other
Enumeration date
05/11/2017
Last updated
08/13/2026
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