THOMAS E BOLZE


Address: 201 John Glenn Dr, Walkerton, IN 46574-1439
Phone: 5745863195

THOMAS E BOLZE (NPI# 1760971113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760971113
Entity Type Individual
Full Name THOMAS E BOLZE
Credential ATC,LAT
Practice Address 201 John Glenn Dr
Walkerton
IN 46574-1439
Mailing Address 1006 Tyler St
Walkerton
IN 46574-1448
Practice Telephone 5745863195
Mailing Telephone 5748497866
Enumeration Date 2018-05-01
Last Update Date 2018-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
36001414A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 201 JOHN GLENN DR
City WALKERTON
State IN
Zip Code 46574-1439

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NPI Name Taxonomy Address Enumeration
1063717916 Jennifer Lynn Clingenpeel Pharmacist 28350 Rankert Rd, Walkerton, IN 46574 2011-01-24
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1568405694 Town of Walkerton Ambulance 506 Washington St, Walkerton, IN 46574-1006 2006-06-14
1518525971 Lisa Ann Rizek Specialist/Technologist 507 Indiana St, Walkerton, IN 46574-1108 2019-05-31
1649381021 Laporte Regional Physician Network Internal Medicine 506 Michigan St, Walkerton, IN 46574-1116 2006-08-31
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1558464255 Hook Superx LLC Pharmacy 300 Liberty St, Walkerton, IN 46574-1246 2006-09-07
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

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1538778139 Tyralee Frye Specialist/Technologist 731 Lincoln Dr, Bloomfield, IN 47424-1023 2020-07-29
1902415508 Kaitlyn Kendrick Specialist/Technologist 2909 Tindall St, Indianapolis, IN 46203-5449 2020-07-29
1063037166 Ronald Lee Ennis Jr. Specialist/Technologist 307 Henley Rd, Richmond, IN 47374-5946 2020-06-15
1235753278 Lauren Schnell Specialist/Technologist 3196 Lakeside Dr, Jasper, IN 47546-9517 2020-06-05
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Competitor

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City WALKERTON
Zip Code 46574

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Dataset Information

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.

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