IndividualActive
Brennan Boettcher, D.O.
NPI 1124468962 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Rochester, MN
Provider details
- NPI number
- 1124468962
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 58301 (MN)
Mailing address
200 1st St Sw
Rochester, MN 55905-0001
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.