Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MADISON BOUTWELL, MSAT, ATC, LAT
ActiveMRS. MADISON BOUTWELL, MSAT, ATC, LAT is a Athletic Trainer healthcare provider located in MILL CREEK, Indiana. NPI 1104573575 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MILL CREEK, IN
Registration Details
- NPI Number
- 1104573575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2022 (4.4538301548338 yrs)
- Last Updated
- May 30, 2023
- License
-
36003731A (IN)
Practice Information
- Address
-
397 N 600 EMILL CREEK, IN, 463659607Browse IN providers · Browse ZIP 46365
- Phone
- 2198516845
- 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.