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

Taylor G Boucher

Individual provider Athletic Trainer · NPI 1205236825

Taylor G Boucher is an Athletic Trainer in Calabasas, California. Practices as a sole proprietor. Licensed in California and South Carolina.

Licensed in
CA, SC
In the registry since
2014
Specialties on file
3

Practice location Address checks out

24845 Avenida Asoleada
Calabasas, CA 91302-1414
Phone: (818) 642-5429
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 308069 (CA)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (SC)

Record details

NPI number1205236825
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2014
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address24845 Avenida Asoleada, Calabasas, CA 91302-1414

Other providers in Calabasas