Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DANIEL BOULANGER, ATC, CES, PES
ActiveMR. DANIEL BOULANGER, ATC, CES, PES is a Athletic Trainer healthcare provider located in LINCOLN, Rhode Island. NPI 1053824805 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LINCOLN, RI
Registration Details
- NPI Number
- 1053824805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2017 (8.7339425863093 yrs)
- Last Updated
- Jul 5, 2018
Practice Information
- Address
-
1762 LOUISQUISSET PIKELINCOLN, RI, 02865Browse RI providers · Browse ZIP 02865
- Phone
- 4013337000
- 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.