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MARIBETH ROSE BOEKE GANZELL LAT, ATC
NPI 1831717073
Specialist/Technologist - Athletic Trainer in St Marys City, MD

Active since July 13, 2020
18952 E FISHER RD, ST MARYS CITY, MD 20686(909) 241-2853 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maribeth Rose Boeke Ganzell Lat, Atc NPPES

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

MARIBETH ROSE BOEKE GANZELL LAT, ATC (NPI 1831717073) is an individual athletic trainer provider in St Marys City, Maryland, licensed in Maryland (A00247) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1831717073
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMARIBETH ROSE BOEKE GANZELLCredential: LAT, ATC
Location Address18952 E FISHER RDSt Marys City, MD 20686-3001
Mailing Address48836 Park Pines DrLexington Park, MD 20653-3515 · (909) 241-2853
Phone(909) 241-2853
Sole ProprietorNo
Enumeration DateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
✔ NPI 1831717073 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 MD · A00247
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.
18952 E FISHER RD, St Marys City, MD 20686
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Other Providers at the Same Location NPPES 4

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

MR. WILLIAM JAMES CRANMER ATC
Specialist/Technologist (Athletic Trainer)
18952 E FISHER RD, DEPARTMENT OF ATHLETICS
ST MARYS CITY, MD 20686
St. Mary's County (240) 895-2135
MICHELLE MOREAU M.S. ATC/LAT
Specialist/Technologist (Athletic Trainer)
18952 E FISHER RD
ST MARYS CITY, MD 20686
St. Mary's County (240) 895-4417
MISS JENNIFER ROSE ANDERSON ATC
Specialist/Technologist (Athletic Trainer)
18952 E FISHER RD
ST MARYS CITY, MD 20686
St. Mary's County (240) 895-2135
MS. EILEEN C LIGDAY CRNP
Nurse Practitioner (Pediatrics)
18952 E FISHER RD
ST MARYS CITY, MD 20686
St. Mary's County (240) 895-4289

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 Maribeth Boeke Ganzell's NPI number?

The NPI number for Maribeth Boeke Ganzell is 1831717073. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Maribeth Boeke Ganzell located?

Maribeth Boeke Ganzell practices at 18952 E Fisher Rd, St Marys City, MD 20686. The listed phone number is (909) 241-2853.

What is Maribeth Boeke Ganzell'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 Maribeth Boeke Ganzell was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.