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MR. JAMIE DAVID BOUDREAU ATC
NPI 1780146688
Specialist/Technologist - Athletic Trainer in Derry, NH

Active since April 01, 2019
19 N MAIN ST, DERRY, NH 03038(603) 437-5200(603) 437-5244 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jamie David Boudreau Atc NPPES

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

MR. JAMIE DAVID BOUDREAU ATC (NPI 1780146688) is an individual athletic trainer provider in Derry, New Hampshire, licensed in New Hampshire (0072) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1780146688
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JAMIE DAVID BOUDREAUCredential: ATC
Location Address19 N MAIN STDerry, NH 03038-1208
Mailing Address114 Helen Dearborn RdWeare, NH 03281-5816 · (603) 437-5200 · Fax (603) 437-5244
Phone(603) 437-5200
Fax(603) 437-5244
Sole ProprietorYes
Enumeration DateApril 1, 2019
✔ NPI 1780146688 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 NH · 0072
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.
19 N MAIN ST, Derry, NH 03038
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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 Jamie Boudreau's NPI number?

The NPI number for Jamie Boudreau is 1780146688. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Jamie Boudreau located?

Jamie Boudreau practices at 19 N Main St, Derry, NH 03038. The listed phone number is (603) 437-5200.

What is Jamie Boudreau'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 Jamie Boudreau was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.