KELLI BOLTON (NPI# 1255854998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255854998 |
| Entity Type | Individual |
| Full Name | KELLI BOLTON |
| Credential | MA, ATC |
| Practice Address |
527 Montgomery St Custer SD 57730-1124 |
| Mailing Address |
639 Northern Lights Blvd Apt 3304 Box Elder SD 57719-6399 |
| Practice Telephone | 6058404794 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000017784 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
527 MONTGOMERY ST |
| City | CUSTER |
| State | SD |
| Zip Code | 57730-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801275326 | Heidi Sahling | Counselor | 124 6th Street, Custer, SD 57730 | 2015-05-29 |
| 1275623134 | Custer Ambulance Service Inc | Ambulance | 30 S 3rd St, Custer, SD 57730 | 2006-10-13 |
| 1801984026 | Josephine A. Chase | Social Worker | 29 N 6th St., Custer, SD 57730 | 2006-10-11 |
| 1750473070 | Horse Nation Healing, Inc. | Social Worker | 37 N 5th St., Custer, SD 57730 | 2006-09-28 |
| 1760483713 | Regional Health Network Inc | Assisted Living Facility | 423 N 10 St, Custer, SD 57730 | 2005-08-02 |
| 1578019436 | Carey Daunt | Physical Therapist | 1041 Montgomery St, Custer Regional Hospital, Custer, SD 57730 | 2016-08-31 |
| 1972985224 | Christopher James Wenger | Family Medicine | 1220 Montgomery St, Custer, SD 57730 | 2015-06-23 |
| 1689760399 | Sandra Lee Conard | Chiropractor | 246 N 5th St, Custer, SD 57730 | 2006-10-04 |
| 1912014499 | Joleen E Falkenburg | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-08-23 |
| 1831161413 | Lisa B Brown | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-02-07 |
| Find all providers in zip 57730 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1033729520 | Sarah Shippy | Specialist/Technologist | 29359 324th Ave, Colome, SD 57528-6017 | 2020-08-09 |
| 1548878432 | Maranna Caroline Gunnerson | Specialist/Technologist | 1004 Campanile Ave, Brookings, SD 57007-0001 | 2020-07-16 |
| 1184242612 | Turner David Serr | Specialist/Technologist | 5808 W Oakcrest Dr, Sioux Falls, SD 57107-0997 | 2020-07-10 |
| 1275156796 | Megan Rose Ekern | Specialist/Technologist | 816 S Suburban Dr, Sioux Falls, SD 57110-3184 | 2020-05-19 |
| 1982231338 | Brian Fox | Specialist/Technologist | 2900 S Cliff Ave, Sioux Falls, SD 57105-5125 | 2020-03-25 |
| 1295362028 | Mary Beth Zwart | Specialist/Technologist | 1004 Campanile Avenue, Brookings, SD 57007-0001 | 2020-03-23 |
| 1083244636 | Katie Dee Willmott | Specialist/Technologist | 318 S Main Ave Ste 1, Platte, SD 57369-2120 | 2020-01-23 |
| 1013555192 | Zachary Sengelmann | Specialist/Technologist | 29749 340th Ave, Gregory, SD 57533-5018 | 2019-12-19 |
| 1205481389 | Gwyneth Brenna Nell Phillips | Specialist/Technologist | 124 12th Ave S Apt 7c, Brookings, SD 57006-2211 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLI BOLTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.