Mckenley Boam, ATC
NPI 1629865639 · Athletic Trainer · Provo, UT
Mckenley Boam, ATC is a Athletic Trainer provider in Provo, UT (NPI 1629865639).
Provider details
- NPI number
- 1629865639
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 425914 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-22
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Mckenley Boam's NPI number?
- Mckenley Boam's National Provider Identifier (NPI) is 1629865639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mckenley Boam's specialty?
- Mckenley Boam is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mckenley Boam located?
- Mckenley Boam's practice location on file with NPPES is 1227 Riverside Ave Apt 60, Provo, UT 84604-3288.
- What is Mckenley Boam's phone number?
- The practice phone number listed in the NPPES registry for Mckenley Boam is (713) 330-9308.
- Is Mckenley Boam's NPI active?
- Yes — Mckenley Boam's NPI (1629865639) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.