Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUSTYN LYNNELL BOULWARE
ActiveAUSTYN LYNNELL BOULWARE is a Athletic Trainer healthcare provider located in SOUTHFIELD, Michigan. NPI 1326504994 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1326504994
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2019 (7.4434228777359 yrs)
- Last Updated
- Feb 19, 2019
- License
-
B460084564641 (MI)
Practice Information
- Address
-
23225 THORNCLIFFE STSOUTHFIELD, MI, 480336559Browse MI providers · Browse ZIP 48033
- Phone
- 5869172338
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MS. EBONNIE CAMILLE WEST | A.T.C | 1598809428 |
| MS. JANET BALOWSKI | MS, ATC | 1235368689 |
| REBECCA AUSTIN | AT, ATC | 1548684830 |
| TIMOTHY AARON STANLEY FRACASSI | LAT | 1629474648 |
| BRITTANY TYLER | ATC | 1194272690 |
| MRS. JANELLE DORSEY | — | 1801493697 |
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.