NPI 1255736849
Katie Bourbonnais, MSATCLATCSCS
Practice location
- Address
- Saint Mary's College Angela Athletic Facility, Notre Dame, IN 46556
- Phone
- (574) 284-4006
- Mailing address
- 815 E Park Dr, Niles, MI 49120-5031
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1255736849
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Oct 2014
- Record last updated
- 4 Dec 2015
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.