Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA BOULWARE, ATC
ActiveAMANDA BOULWARE, ATC is a Athletic Trainer healthcare provider located in WINDSOR, Connecticut. NPI 1700289899 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WINDSOR, CT
Registration Details
- NPI Number
- 1700289899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2014 (11.824541726067 yrs)
- Last Updated
- Oct 2, 2014
- License
-
000929 (CT)
Practice Information
- Address
-
124 CONESTOGA STWINDSOR, CT, 060952201Browse CT providers · Browse ZIP 06095
- Phone
- 7864318888
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WINDSOR, CT
| Name | Credential | NPI |
|---|---|---|
| DONALD THOMAS MACGILLIVRAY III | ATC | 1245277920 |
| DIANA T CAO | — | 1497397525 |
| CHRISTINA ELIZABETH BONA | ATC | 1285253963 |
| CASANDRA MARIE BLACK | — | 1477210979 |
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.