Active NPIIndividual provider

Jenna Bouffard, LAT, ATC

Specialist/Technologist, Athletic Trainer in Watertown, Connecticut

NPI Number1851178172
Practice location
324 French St, Watertown, CT 06795-2929
Fax
—
Last updated
September 11, 2023

Jenna Bouffard is a Specialist/Technologist, Athletic Trainer based in Watertown, CT. Jenna Bouffard practices in Watertown, CT and has the professional credentials of LAT, ATC. The NPI Number for Jenna Bouffard is 1851178172. The current practice location address for Jenna Bouffard is 324 French St, Watertown, CT 06795-2929 and can be reached out via phone at 203-982-0406.

Provider Profile Details

NPI Number
1851178172
Provider Name
Jenna Bouffard
Credential
LAT, ATC
Provider Entity Type
Individual
Gender
Female
Address
324 French St, Watertown, CT 06795-2929
Phone Number
203-982-0406
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2023
Last Update Date
September 11, 2023
Certification Date
September 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
324 French St
Watertown, CT 06795-2929
Zip
06795-2929
Phone Number
203-982-0406
Watertown, CT 06795Get directions →

Provider Business Mailing Address Details

Address
489 Wolcott St Apt 51
Bristol, CT 06010-6473
City
Bristol
State
CT
Zip
06010-6473
Phone Number
203-982-0406

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jenna Bouffard, LAT, ATC?

The NPI number of Jenna Bouffard, LAT, ATC is 1851178172. It was assigned on September 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Jenna Bouffard, LAT, ATC?

Jenna Bouffard, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Jenna Bouffard, LAT, ATC practice?

The practice location is 324 French St, Watertown, CT 06795-2929. The office can be reached at 203-982-0406 (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 1851178172 directly on the NPPES registry website.

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