Patrick Nathan Boscaccy, A.T.,C. ; LAT

Athletic Trainer · Germantown, TN

Individual Active NPI

NPI number 1689973711

Practice location

3087 Professional PLZ
Germantown, TN 38138-7912
Phone
(901) 730-0681
Fax
(901) 730-0673

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NPI record

NPI
1689973711
Entity type
Individual (Type 1)
Enumeration date
March 15, 2011
Last updated
December 10, 2019
Certified
December 10, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 874 TN

Mailing address

1500 W Poplar Ave Ste 201
Collierville, TN 38017-0601
Phone
(901) 730-0681
Fax
(901) 730-0673

About Patrick Boscaccy

Patrick Nathan Boscaccy, A.T.,C. ; LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3087 Professional PLZ, Germantown, TN 38138-7912. The NPI number 1689973711 was assigned on March 15, 2011 and the record was last updated on December 10, 2019.

Patrick Boscaccy lists a license in the registry: #874 (TN) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Patrick Nathan Boscaccy, A.T.,C. ; LAT?

The NPI number is 1689973711.

What is the phone number of Patrick Boscaccy?

The phone number listed for the practice location is (901) 730-0681.

Where is Patrick Boscaccy located?

3087 Professional PLZ, Germantown, TN 38138-7912.

What is the taxonomy code for Patrick Boscaccy?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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