Active NPIIndividual provider

Katheryn G Boobar, ATC

Specialist/Technologist, Athletic Trainer in Stratton Mtn, Vermont

NPI Number1851375273
Practice location
7 World Cup Cir, Stratton Mtn, VT 05155-9252
Fax
802-297-0020
Last updated
September 5, 2026

Katheryn Grace Boobar is a Specialist/Technologist, Athletic Trainer based in Stratton Mtn, VT. Katheryn Grace Boobar practices in Stratton Mtn, VT and has the professional credentials of ATC. The NPI Number for Katheryn Grace Boobar is 1851375273 and holds a License No. 104.0000140 (VT). The current practice location address for Katheryn Grace Boobar is 7 World Cup Cir, Stratton Mtn, VT 05155-9252 and can be reached out via phone at 802-856-1136 and via fax at 802-297-0020.

Provider Profile Details

NPI Number
1851375273
Provider Name
Katheryn Grace Boobar
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
7 World Cup Cir, Stratton Mtn, VT 05155-9252
Phone Number
802-856-1136
Fax Number
802-297-0020
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2005
Last Update Date
September 5, 2026
Certification Date
September 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 World Cup Cir
Stratton Mtn, VT 05155-9252
State
Vermont
Zip
05155-9252
Phone Number
802-856-1136
Fax Number
802-297-0020
Stratton Mtn, VT 05155Get directions →

Provider Business Mailing Address Details

Address
Po Box 218
Peru, VT 05152-0218
City
Peru
State
VT
Zip
05152-0218
Phone Number
570-204-0791

License Information

License Number
104.0000140
License State
VT
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 Katheryn G Boobar, ATC?

The NPI number of Katheryn G Boobar, ATC is 1851375273. It was assigned on November 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Katheryn G Boobar, ATC?

Katheryn G Boobar, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104.0000140.

Where does Katheryn G Boobar, ATC practice?

The practice location is 7 World Cup Cir, Stratton Mtn, VT 05155-9252. The office can be reached at 802-856-1136 (phone) or 802-297-0020 (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 1851375273 directly on the NPPES registry website.

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