Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CERISE MARIE BOUCHER, ATC
Active Sole ProprietorAthletic Trainer · CASTLETON, VT
Registration Details
- NPI Number
- 1003942038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2007 (19.148743935684 yrs)
- Last Updated
- Jun 16, 2021
- License
-
1040000061 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CASTLETON UNIVERSITY190 UNIVERSITY DRIVECASTLETON, VT, 057350573Browse VT providers · Browse ZIP 05735
- Phone
- 8024681435
- Fax
- 8024682189
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CASTLETON, VT
| Name | Credential | NPI |
|---|---|---|
| MRS. ELLY R. VENTURA | ATC/L | 1043286131 |
| REBEKAH PETERSON | ATC | 1518367531 |
| MR. NICHOLAS DAVID BROWN | — | 1063982700 |
| MR. COREY JUSTIN LACZ | — | 1679221782 |
| ANTONIO SIMONE MANNINO | — | 1750155594 |
| NATALIE ELIZABETH SIMECEK | — | 1447015037 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.