Individual
MCKENNA BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E COLLEGE ST, BRIDGEWATER, VA 22812-1511
(540) 828-5407
Mailing address
402 E COLLEGE ST # 1542, BRIDGEWATER, VA 22812-1511
(757) 714-7776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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