IndividualActive
Mary Boyette, ATC, LAT
NPI 1215313838 · Athletic Trainer · Lorena, TX
Provider details
- NPI number
- 1215313838
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3100 Beutel Rd
Lorena, TX 76655
Phone: (979) 587-5920
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Beutel Rd
Lorena, TX 76655
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.