IndividualActive
Lanny Boswell, PHD
NPI 1790835627 · Sports Physical Therapist · San Diego, CA
Provider details
- NPI number
- 1790835627
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PT15984 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2000 Trident Way
San Diego, CA 92155-5599
Phone: (619) 437-2361
Fax: (619) 437-3197
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Trident Way
San Diego, CA 92155-5599
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.