Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAELEE BOULERIS, ATC
Active Sole ProprietorKAELEE BOULERIS, ATC is a Athletic Trainer healthcare provider located in STILLWATER, New York. NPI 1033723226 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STILLWATER, NY
Registration Details
- NPI Number
- 1033723226
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2020 (5.9035367437067 yrs)
- Last Updated
- Jun 23, 2021
- License
-
104729 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 COUNTY ROUTE 70STILLWATER, NY, 121702000Browse NY providers · Browse ZIP 12170
- Phone
- 5187795540
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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.