Individual
MR. ANDREW DAVID BOEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2501 S GRANGE, ELMEN CENTER, SIOUX FALLS, SD 57197-0002
(605) 274-4332
(605) 274-5298
Mailing address
6905 W 68TH ST, SIOUX FALLS, SD 57106-8831
(605) 360-0231
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0209
SD
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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