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

Savannah Katherine Boulicault

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861371965

Savannah Katherine Boulicault is a Student in an Organized Health Care Education/Training Program in Tuscaloosa, Alabama. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

323 Paul W Bryant Dr
Tuscaloosa, AL 35401-2094
Phone: (314) 401-4955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861371965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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