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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ANDREA JAYNE ROURKE, ATC

Active Sole Proprietor

MS. ANDREA JAYNE ROURKE, ATC is a Athletic Trainer healthcare provider located in WALTHAM, Massachusetts. NPI 1487780318 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WALTHAM, MA

Registration Details

NPI Number
1487780318
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2007 (19.423185838052 yrs)
Last Updated
Jan 21, 2008
License
664 (MA)
Sole Proprietor
Yes

Practice Information

Address
333 FOREST ST
GANN ACADEMY
WALTHAM, MA, 024524717
Browse MA providers · Browse ZIP 02452
Phone
7816426800
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WALTHAM, MA

Name Credential NPI
MR. BROOKS FARRY MS, ATC. 1760400378
SHAUNA KELLY MS, LAT, ATC 1467862565
JASON DAVID BYRNE ATC 1669880696
CHARLES-JOHN WYNTERS ATC 1831631530
CHRISTINA HOLLIS ATC 1588106868
CASSANDRA BERGER 1518400084
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.