Cierra Jean Boutelle
Cierra Jean Boutelle is an Athletic Trainer in Oshkosh, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
4391 Soda Creek Rd Apt 4Oshkosh, WI 54901-1149
Phone: (608) 290-3418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1164137972 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2023 |
| Last updated in NPPES | January 16, 2023 |
| Certification date | January 16, 2023 |
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