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TYLER ZACHARY BOUCHARD
NPI 1508530551
Specialist/Technologist - Athletic Trainer in Columbia, SC

Active since August 03, 2021
1302 HEYWARD ST, COLUMBIA, SC 29208(262) 765-1267 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Zachary Bouchard NPPES

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

TYLER ZACHARY BOUCHARD (NPI 1508530551) is an individual athletic trainer provider in Columbia, South Carolina, licensed in South Carolina (2000038516) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1508530551
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTYLER ZACHARY BOUCHARD
Location Address1302 HEYWARD STColumbia, SC 29208-3407
Mailing Address402 S Moreland BlvdWaukesha, WI 53188-4912 · (262) 765-1267
Phone(262) 765-1267
Sole ProprietorNo
Enumeration DateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1508530551 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
License✔ Licensed in SC · 2000038516
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.
1302 HEYWARD ST, Columbia, SC 29208
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Other Providers at the Same Location NPPES

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

PATRICK EUGENE JUREWICZ SCAT, ATC
Specialist/Technologist (Athletic Trainer)
1302 HEYWARD ST
COLUMBIA, SC 29208
Richland County (973) 897-4139

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 Tyler Bouchard's NPI number?

The NPI number for Tyler Bouchard is 1508530551. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Tyler Bouchard located?

Tyler Bouchard practices at 1302 Heyward St, Columbia, SC 29208. The listed phone number is (262) 765-1267.

What is Tyler Bouchard'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 Tyler Bouchard was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.