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KELLI BOLTON MA, ATC
NPI 1255854998
Specialist/Technologist - Athletic Trainer in Custer, SD

Active since July 25, 2017
527 MONTGOMERY ST, CUSTER, SD 57730(605) 840-4794 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelli Bolton Ma, Atc NPPES

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

KELLI BOLTON MA, ATC (NPI 1255854998) is an individual athletic trainer provider in Custer, South Dakota, licensed in South Dakota (2000017784) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1255854998
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKELLI BOLTONCredential: MA, ATC
Location Address527 MONTGOMERY STCuster, SD 57730-1124
Mailing Address639 Northern Lights Blvd Apt 3304Box Elder, SD 57719-6399
Phone(605) 840-4794
Sole ProprietorYes
Enumeration DateJuly 25, 2017
✔ NPI 1255854998 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
License✔ Licensed in SD · 2000017784
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.
527 MONTGOMERY ST, Custer, SD 57730
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Other Providers at the Same Location NPPES

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

NICOLE HABBE
Occupational Therapist
527 MONTGOMERY ST
CUSTER, SD 57730
Custer County (605) 673-3154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Bolton's NPI number?

The NPI number for Kelli Bolton is 1255854998. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Kelli Bolton located?

Kelli Bolton practices at 527 Montgomery St, Custer, SD 57730. The listed phone number is (605) 840-4794.

What is Kelli Bolton's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Bolton was last updated on July 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.