1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Specialist Technologist
  6. NPI Profile

MACKENZIE LYNN BOLDUC
NPI 1295243491
Specialist/Technologist - Athletic Trainer in San Bernardino, CA

Active since January 22, 2018
1964 SHERIDAN RD, SAN BERNARDINO, CA 92407(760) 987-0742 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mackenzie Lynn Bolduc NPPES

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

MACKENZIE LYNN BOLDUC (NPI 1295243491) is an individual athletic trainer provider in San Bernardino, California, licensed in Pennsylvania (RT007068) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1295243491
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMACKENZIE LYNN BOLDUC
Location Address1964 SHERIDAN RDSan Bernardino, CA 92407-4696
Mailing Address565 Greenland DrLancaster, PA 17602-5906 · (760) 987-0742
Phone(760) 987-0742
Sole ProprietorNo
Enumeration DateJanuary 22, 2018
Last NPPES UpdateNovember 25, 2019
✔ NPI 1295243491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in PA · RT007068
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1964 SHERIDAN RD, San Bernardino, CA 92407
Open in Google Maps ↗

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 Mackenzie Bolduc's NPI number?

The NPI number for Mackenzie Bolduc is 1295243491. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Mackenzie Bolduc located?

Mackenzie Bolduc practices at 1964 Sheridan Rd, San Bernardino, CA 92407. The listed phone number is (760) 987-0742.

What is Mackenzie Bolduc'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 Mackenzie Bolduc was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.