Jamie David Boudreau, ATC Valid NPI

Individual provider · Athletic Trainer · Derry, NH

NPI

1780146688

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

0072 (NH)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-04-01

Last updated

2019-04-01