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MS. KRISTIN ELIZABETH BOURQUE ATC
NPI 1285747642
Specialist/Technologist - Athletic Trainer in Macon, GA

Active since August 17, 2006
1400 COLEMAN AVE, MERCER UNIVERSITY ATHLETIC DEPARTMENT, MACON, GA 31207(443) 745-3741 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kristin Elizabeth Bourque Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTIN ELIZABETH BOURQUE ATC (NPI 1285747642) is an individual athletic trainer provider in Macon, Georgia and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1285747642
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. KRISTIN ELIZABETH BOURQUECredential: ATC
Location Address1400 COLEMAN AVE, MERCER UNIVERSITY ATHLETIC DEPARTMENTMacon, GA 31207-0001
Mailing Address1400 Coleman Ave, Mercer University Athletic DepartmentMacon, GA 31207-0001 · (443) 745-3741
Phone(443) 745-3741
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285747642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1400 COLEMAN AVE, Macon, GA 31207
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JESSE ANDREW KOLODZIEJSKI ATC
Specialist/Technologist (Athletic Trainer)
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 301-2371
MR. TIPTON DOVEY SHOLES
Student in an Organized Health Care Education/Training Program
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 633-6835
STACY LYNN AREND ATC
Specialist/Technologist (Athletic Trainer)
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 301-2135
MERCER UNIVERSITY SCHOOL OF MEDICINE
Student in an Organized Health Care Education/Training Program
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 301-2700
JACOB MILLINER
Student in an Organized Health Care Education/Training Program
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 301-2700
MISS HANNAH M SMITH ATC
Specialist/Technologist (Athletic Trainer)
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 301-2371
DR. ANNALEE JOY WITTMEYER M.D.
Student in an Organized Health Care Education/Training Program
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 301-5335
JUSTIN MCIVOR LAW MD
Emergency Medicine
1400 COLEMAN AVE
MACON, GA 31207
Bibb County (478) 301-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Bourque's NPI number?

The NPI number for Kristin Bourque is 1285747642. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Kristin Bourque located?

Kristin Bourque practices at 1400 Coleman Ave Mercer University Athletic Department, Macon, GA 31207. The listed phone number is (443) 745-3741.

What is Kristin Bourque's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kristin Bourque was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.