- Practice location
- Castleton University, 190 University Drive, Castleton, VT 05735-0573
- Phone
- 802-468-1435
- Fax
- 802-468-2189
- Last updated
- June 16, 2021
Cerise Marie Boucher is a Specialist/Technologist, Athletic Trainer based in Castleton, VT. Cerise Marie Boucher practices in Castleton, VT and has the professional credentials of ATC. The NPI Number for Cerise Marie Boucher is 1003942038 and holds a License No. 1040000061 (VT). The current practice location address for Cerise Marie Boucher is Castleton University, 190 University Drive, Castleton, VT 05735-0573 and can be reached out via phone at 802-468-1435 and via fax at 802-468-2189.
Provider Profile Details
- NPI Number
- 1003942038
- Provider Name
- Cerise Marie Boucher
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Castleton University, 190 University Drive, Castleton, VT 05735-0573
- Phone Number
- 802-468-1435
- Fax Number
- 802-468-2189
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 26, 2007
- Last Update Date
- June 16, 2021
- Certification Date
- September 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Castleton University
190 University Drive
Castleton, VT 05735-0573 - City
- Castleton
- State
- Vermont
- Zip
- 05735-0573
- Phone Number
- 802-468-1435
- Fax Number
- 802-468-2189
Provider Business Mailing Address Details
- Address
- 1668 South St
Castleton, VT 05735-9254 - City
- Castleton
- State
- VT
- Zip
- 05735-9254
- Phone Number
- 802-671-8052
License Information
- License Number
- 1040000061
- License State
- VT
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Cerise M Boucher, ATC?
The NPI number of Ms. Cerise M Boucher, ATC is 1003942038. It was assigned on February 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Cerise M Boucher, ATC?
Ms. Cerise M Boucher, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 1040000061.
Where does Ms. Cerise M Boucher, ATC practice?
The practice location is Castleton University, 190 University Drive, Castleton, VT 05735-0573. The office can be reached at 802-468-1435 (phone) or 802-468-2189 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003942038 directly on the NPPES registry website.