P Praxis·MD
● Active Type 1 · Individual

MR. Randy Eugene Boswell, MA, ATC, LAT

Specialist/Technologist·Coeur D Alene, ID· NPI 1477780179 · Enumerated 2009 · 16 years on NPI
Boswell is 1 of 5 specialist/technologist providers in Coeur D Alene and 1 of 326 in Idaho.
NPI age
16 years
Enumerated 2009-06-19
Primary specialty
Specialist/Technologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2009-06-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
16 years
↑ 8 yr above median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
1000 W Garden Ave
Coeur D Alene, ID 838142161
📞 2087693217fax 2087697779
Mailing address
1000 W Garden Ave
Coeur D Alene, ID 838142161
📞 2087693217fax 2087697779

Specialties

  • Specialist/Technologist Primary
    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,...
    taxonomy 2255A2300X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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