NPI 1003942038

Cerise Marie Boucher, ATC

Practitioner Athletic Trainer Castleton, VT

Practice location

Address: Castleton University 190 University Drive, Castleton, VT 05735-0573
Phone: (802) 468-1435
Fax: (802) 468-2189
Mailing address: 1668 South St, Castleton, VT 05735-9254

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1040000061 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1003942038
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2007
Record last updated: 16 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.