IndividualActive
Amanda Boulware, ATC
NPI 1700289899 · Athletic Trainer · Windsor, CT
Provider details
- NPI number
- 1700289899
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 000929 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
124 Conestoga St
Windsor, CT 06095-2201
Phone: (786) 431-8888
Approximate (ZIP-level) locationGet directions
Mailing address
124 Conestoga St
Windsor, CT 06095-2201
Registry dates
- Enumerated
- 2014-10-02
- Last updated
- 2014-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.