Individual
RACHEL BOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, LAT, ATC
Contact information
Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(560) 380-4945
Mailing address
123 2ND AVE SE, APT. 3, OELWEIN, IA 50662-2354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000926
IA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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