Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMIE DAVID BOUDREAU, ATC
Active Sole ProprietorMR. JAMIE DAVID BOUDREAU, ATC is a Athletic Trainer healthcare provider located in DERRY, New Hampshire. NPI 1780146688 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DERRY, NH
Registration Details
- NPI Number
- 1780146688
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2019 (7.1831522796278 yrs)
- Last Updated
- Apr 1, 2019
- License
-
0072 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 N MAIN STDERRY, NH, 030381208Browse NH providers · Browse ZIP 03038
- Phone
- 6034375200
- Fax
- 6034375244
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DERRY, NH
| Name | Credential | NPI |
|---|---|---|
| MR. KEITH RUPP | ATC | 1356486773 |
| AMANDA MURPHY | ATC | 1093521387 |
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.