BRADEN ASHVIN PHETKHAMCHANH
NPI 1003487638
Specialist/Technologist - Athletic Trainer in Oskaloosa, IA

Q: What is Braden Phetkhamchanh's NPI number?

The NPI number for Braden Phetkhamchanh is 1003487638. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Braden Phetkhamchanh's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since July 06, 2021

201 TRUEBLOOD AVE, OSKALOOSA, IA 52577(641) 673-1093 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Braden Ashvin Phetkhamchanh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADEN ASHVIN PHETKHAMCHANH (NPI 1003487638) is an individual athletic trainer provider in Oskaloosa, Iowa and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1003487638

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameBRADEN ASHVIN PHETKHAMCHANH

Location Address201 TRUEBLOOD AVEOskaloosa, IA 52577-1757

Mailing Address1917 S Stoneybrook StWichita, KS 67207-7111

Phone(641) 673-1093

Sole ProprietorNo

Enumeration DateJuly 6, 2021

NPPES CertifiedJuly 6, 2021

✔ NPI 1003487638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

201 TRUEBLOOD AVE, Oskaloosa, IA 52577

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ABU IBRAHIM ATC, LAT

Specialist/Technologist (Athletic Trainer)