Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Randy Eugene Boswell, MA, ATC, LAT

Individual provider Athletic Trainer · NPI 1477780179

Mr. Randy Eugene Boswell, MA, ATC, LAT is an Athletic Trainer in Coeur D Alene, Idaho. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1000 W Garden Ave
Coeur D Alene, ID 83814-2161
Phone: (208) 769-3217
Fax: (208) 769-7779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1477780179
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC , LAT
Sole proprietorYes
NPI enumeratedJune 19, 2009
Last updated in NPPESJune 19, 2009

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