Austyn Lynnell Boulware
Austyn Lynnell Boulware is an Athletic Trainer in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2019.
- Licensed in
- MI
- In the registry since
- 2019
Practice location Address checks out
23225 Thorncliffe StSouthfield, MI 48033-6559
Phone: (586) 917-2338
Show map & directions
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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 B460084564641 (MI) |
|---|
Record details
| NPI number | 1326504994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 19, 2019 |
| Last updated in NPPES | February 19, 2019 |
| Mailing address | 23225 Thorncliffe St, Southfield, MI 48033-6559 |
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