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LUCY BOURESSA
NPI 1316311905
Specialist/Technologist - Athletic Trainer in Appleton, WI

Active since November 19, 2015
2105 E. ENTERPRISE AVE, 113, APPLETON, WI 54913(920) 991-2561(920) 991-2563 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lucy Bouressa NPPES

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

LUCY BOURESSA (NPI 1316311905) is an individual athletic trainer provider in Appleton, Wisconsin and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1316311905
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameLUCY BOURESSA
Location Address2105 E. ENTERPRISE AVE, 113Appleton, WI 54913
Mailing Address2105 E. Enterprise Ave, 113Appleton, WI 54913 · (920) 991-2561 · Fax (920) 991-2563
Phone(920) 991-2561
Fax(920) 991-2563
Sole ProprietorNo
Enumeration DateNovember 19, 2015
✔ NPI 1316311905 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.
2105 E. ENTERPRISE AVE, Appleton, WI 54913
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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 Lucy Bouressa's NPI number?

The NPI number for Lucy Bouressa is 1316311905. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Lucy Bouressa located?

Lucy Bouressa practices at 2105 E. Enterprise Ave 113, Appleton, WI 54913. The listed phone number is (920) 991-2561.

What is Lucy Bouressa'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 Lucy Bouressa was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.