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

Mrs. Madison Boutwell, MSAT, ATC, LAT

Individual provider Athletic Trainer · NPI 1104573575

Mrs. Madison Boutwell, MSAT, ATC, LAT is an Athletic Trainer in Mill Creek, Indiana. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

397 N 600 E
Mill Creek, IN 46365-9607
Phone: (219) 851-6845
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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 36003731A (IN)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1104573575
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSAT , ATC , LAT
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023