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

Miranda Grace Boucard, ATC

Individual provider Athletic Trainer · NPI 1447741442

Miranda Grace Boucard, ATC is an Athletic Trainer in Towson, Maryland. Licensed in Maryland and New Jersey. Registered with an NPI since 2018.

Licensed in
MD, NJ
In the registry since
2018
Specialties on file
2
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

8000 York Rd
Towson, MD 21252-4560
Phone: (410) 704-5224
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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 A0001284 (MD)
Athletic Trainer Taxonomy 2255A2300X · Licence BOC315627 (NJ)

Record details

NPI number1447741442
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedMay 24, 2018
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021

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