Ms. Renee M Boucher, MED, ATC, LAT
Specialist/Technologist, Athletic Trainer in Barre, Massachusetts
1548305295- Practice location
- 800 South St, Barre, MA 01005-8906
- Phone
- 978-355-5041
- Fax
- —
- Last updated
- October 25, 2016
Renee M Boucher is a Specialist/Technologist, Athletic Trainer based in Barre, MA. Renee M Boucher practices in Barre, MA and has the professional credentials of MED, ATC, LAT. The NPI Number for Renee M Boucher is 1548305295 and holds a License No. 01770 (MA). The current practice location address for Renee M Boucher is 800 South St, Barre, MA 01005-8906 and can be reached out via phone at 978-355-5041.
Provider Profile Details
- NPI Number
- 1548305295
- Provider Name
- Renee M Boucher
- Credential
- MED, ATC, LAT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 800 South St, Barre, MA 01005-8906
- Phone Number
- 978-355-5041
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 20, 2007
- Last Update Date
- October 25, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 South St
Barre, MA 01005-8906 - City
- Barre
- State
- Massachusetts
- Zip
- 01005-8906
- Phone Number
- 978-355-5041
Provider Business Mailing Address Details
- Address
- Po Box 442
Barre, MA 01005-0442 - City
- Barre
- State
- MA
- Zip
- 01005-0442
- Phone Number
- 401-440-6369
License Information
- License Number
- 01770
- License State
- MA
- 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. Renee M Boucher, MED, ATC, LAT?
The NPI number of Ms. Renee M Boucher, MED, ATC, LAT is 1548305295. It was assigned on February 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Renee M Boucher, MED, ATC, LAT?
Ms. Renee M Boucher, MED, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 01770.
Where does Ms. Renee M Boucher, MED, ATC, LAT practice?
The practice location is 800 South St, Barre, MA 01005-8906. The office can be reached at 978-355-5041 (phone).
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 1548305295 directly on the NPPES registry website.