LUCAS BAHNMAIER


Address: 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970
Phone: 2084894299

LUCAS BAHNMAIER (NPI# 1982940011) 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) 1982940011
Entity Type Individual
Full Name LUCAS BAHNMAIER
Credential MS, ATC/L, OTC
Practice Address 1109 W Myrtle St
Suite 200
Boise
ID 83702-6970
Practice Telephone 2084894299
Practice Fax Number 2084894300
Mailing Telephone 2084894299
Mailing Fax Number 2084894300
Enumeration Date 2012-12-18
Last Update Date 2012-12-18
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
AT-425 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1109 W MYRTLE ST
SUITE 200
City BOISE
State ID
Zip Code 83702-6970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477581122 Kurt J Nilsson Family Medicine 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-06-30
1801249545 Zachary Braddock Physical Therapist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2016-07-18
1194193334 Candice Chessum Physical Therapist 1109 W Myrtle St, Boise, ID 83702-6970 2015-09-04
1083015929 Julia Hassell Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2014-09-10
1831475284 Timothy Steven Nicolello Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2011-10-31
1992089858 Joel Eric Vander Lugt Physical Therapist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2011-10-10
1639372709 Forrest Q Pecha Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2007-06-07
1518978337 Alejandro A Homaechevarria Family Medicine 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-08-10
1780694182 Erik J Heggland Orthopaedic Surgery 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
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1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528680568 David Book Specialist/Technologist 1707 N 26th St, Boise, ID 83702-0112 2020-05-13
1790304889 Jared Neal Specialist/Technologist 12118 W Hinsdale Ct, Boise, ID 83713-4771 2020-04-09
1144877275 Thisbe Cosette Sahwell Specialist/Technologist 1614 S Loggers Pond Pl Apt 23, Boise, ID 83706-7501 2019-08-22
1780243469 Taylor Christine Grubbs Specialist/Technologist 14242 W Elmsprings St, Boise, ID 83713-1285 2019-06-06
1255999421 Logan Rice Specialist/Technologist 4765 N Wildrye Dr, Boise, ID 83703-3815 2019-06-03
1124684758 Mallory Sue Barber Specialist/Technologist 12598 W Medalist Dr, Boise, ID 83709-6500 2019-05-20
1750859542 Andrew Jay Hammerquist Specialist/Technologist 4884 S Whitmore Way, Boise, ID 83709-3465 2018-11-09
1679053789 David Redinger Specialist/Technologist 3409 N Whistler Ln Apt 201, Boise, ID 83703-6298 2018-08-17
1952892168 Jessica Kerns Specialist/Technologist 6001 W Cassia St, Boise, ID 83709-2199 2018-05-23
1326577610 Koreen Boydstun Specialist/Technologist 3301 Sweetwater Dr, Boise, ID 83716 2017-06-08
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City BOISE
Zip Code 83702

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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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