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

Individual provider Athletic Trainer · NPI 1780146688

Mr. Jamie David Boudreau, ATC is an Athletic Trainer in Derry, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2019
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

19 N Main St
Derry, NH 03038-1208
Phone: (603) 437-5200
Fax: (603) 437-5244
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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 0072 (NH)

Record details

NPI number1780146688
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESApril 1, 2019

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