Black and Blue Boxing, Inc. – Athletic Trainer, NPI 1396986972

Black and Blue Boxing, Inc. is a healthcare provider. based in Blaine, Minnesota. specializing in Athletic Trainer. The organization holds a License No. 2141 (MN). The NPI Number for Black and Blue Boxing, Inc. is 1396986972

Main info

Organization
Name
Black and Blue Boxing, Inc.
NPI
1396986972
Phone
(612) 670-1565
Address
920 125TH LN NE
Authorized Official
MR. DANIEL EDWARD SANDELL OWNER/ATHLETIC TRAINER ATC
Enumeration Date
12 March 2009
Last Update Date
12 March 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Black and Blue Boxing, Inc.

  • 920, 125th Lane Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55434, United States

    BLAINE, MN 554343182

    Phone: (612) 670-1565

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55434)

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Reviews

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Frequently asked questions

Is Black and Blue Boxing, Inc. listed with a National Provider Identifier?
Yes — Black and Blue Boxing, Inc. has NPI 1396986972 on file in the registry.
Would Black and Blue Boxing, Inc. appear as active to a payer?
You can treat Black and Blue Boxing, Inc. as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with Black and Blue Boxing, Inc.?
Black and Blue Boxing, Inc.'s record emphasizes Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Black and Blue Boxing, Inc. registered?
Use Blaine, Minnesota as the headline location for Black and Blue Boxing, Inc. here.
Can I trust this NPI listing for Black and Blue Boxing, Inc.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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