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

Skylar Rae Boulton

Individual provider Rehabilitation Practitioner · NPI 1336920057

Skylar Rae Boulton is a Rehabilitation Practitioner in Santa Ana, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1202 W Civic Center Dr
Santa Ana, CA 92703-2252
Phone: (949) 646-3489
Fax: (949) 646-5148
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1336920057
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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