Individual provider · Type 1 NPI

Lanny L. Boswell, PhD

Sports Physical Therapist · San Diego, CA

NPI number 1790835627 Active

Practice location

2000 Trident Way
San Diego, CA 92155-5599

Fax (619) 437-3197

Specialties and licenses

Taxonomy	Code	License
Clinical Electrophysiology Physical Therapist	2251E1300X	PT15984 (CA)
Sports Physical Therapist Primary	2251S0007X	PT15984 (CA)
Orthopedic Physical Therapist	2251X0800X	PT15984 (CA)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

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About NPI 1790835627

Lanny L. Boswell, PhD's National Provider Identifier is 1790835627, issued on Jan 11, 2007. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2025.