Hannah Boller
Individual provider Active NPI Athletic Trainer · Knoxville, TN
NPI 1720636772 · NPPES record last updated Sep 3, 2019
Key facts
- NPI
- 1720636772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 8129 Wiebelo Dr
Knoxville, TN 37931-3458 - Phone
- (865) 206-2643
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
8129 Wiebelo Dr
Knoxville, TN 37931-3458
Mailing address
8129 Wiebelo Dr
Knoxville, TN 37931-3458
Phone (865) 206-2643
Other providers in Knoxville, TN
- May Bolin
- William R Bolin
- Katherine Irene Boling
- Paola Veronica Boling
- Tatjana Boljanovic
- Reagan Bollig
- Halley Bollinger
- Jordan Bollinger
- Ashley Bolster
- Rachel Kristine Bolster
All providers in Knoxville, TN · Athletic Trainer in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.