Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KRISTIN ELIZABETH BOURQUE, ATC
Active Sole ProprietorMS. KRISTIN ELIZABETH BOURQUE, ATC is a Athletic Trainer healthcare provider located in MACON, Georgia. NPI 1285747642 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MACON, GA
Registration Details
- NPI Number
- 1285747642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2006 (19.949626890169 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 COLEMAN AVEMERCER UNIVERSITY ATHLETIC DEPARTMENTMACON, GA, 312070001Browse GA providers · Browse ZIP 31207
- Phone
- 4437453741
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. LANCE CHARLES HUTCHINS | ATC | 1811927635 |
| MRS. JENNA LYNNE HOUSTON | MED, ATC, LAT | 1649298506 |
| GARRETT BONNER LAW | A.T.C. | 1598818353 |
| JOSEPH SAM HADAWAY | ATC | 1013134816 |
| DANIEL JOHN GIBBS | ATC | 1760665913 |
| MR. CHRISTOPHER G MARKIE | DAT, LAT, ATC, CES | 1437325933 |
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.