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MCKENLEY BOAM ATC
NPI 1629865639
Specialist/Technologist - Athletic Trainer in Provo, UT

Active since April 22, 2025
1227 RIVERSIDE AVE APT 60, PROVO, UT 84604(713) 330-9308 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenley Boam Atc NPPES

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

MCKENLEY BOAM ATC (NPI 1629865639) is an individual athletic trainer provider in Provo, Utah, licensed in Utah (425914) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1629865639
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMCKENLEY BOAMCredential: ATC
Location Address1227 RIVERSIDE AVE APT 60Provo, UT 84604-3288
Mailing Address1227 Riverside Ave Apt 60Provo, UT 84604-3288 · (713) 330-9308
Phone(713) 330-9308
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1629865639 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 UT · 425914
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.
1227 RIVERSIDE AVE APT 60, Provo, UT 84604
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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 Mckenley Boam's NPI number?

The NPI number for Mckenley Boam is 1629865639. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Mckenley Boam located?

Mckenley Boam practices at 1227 Riverside Ave Apt 60, Provo, UT 84604. The listed phone number is (713) 330-9308.

What is Mckenley Boam'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 Mckenley Boam was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.