Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Boulware, ATC

Individual provider Athletic Trainer · NPI 1700289899

Amanda Boulware, ATC is an Athletic Trainer in Windsor, Connecticut. Licensed in Connecticut. Registered with an NPI since 2014.

Licensed in
CT
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

124 Conestoga St
Windsor, CT 06095-2201
Phone: (786) 431-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 000929 (CT)

Record details

NPI number1700289899
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 2, 2014
Last updated in NPPESOctober 2, 2014
Mailing address124 Conestoga St, Windsor, CT 06095-2201

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