Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mikaela Boham, ATC, ATL

Individual provider Athletic Trainer · NPI 1588069942

Dr. Mikaela Boham, ATC, ATL is an Athletic Trainer in Corpus Christi, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

6300 Ocean Dr Unit 5820 Island Hall 179E
Corpus Christi, TX 78412-5820
Phone: (361) 825-2169
Fax: (361) 825-3708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (TX)

Record details

NPI number1588069942
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , ATL
Sole proprietorNo
NPI enumeratedOctober 28, 2014
Last updated in NPPESOctober 28, 2014

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