Tyler Zachary Bouchard
Tyler Zachary Bouchard is an Athletic Trainer in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.
- Licensed in
- SC
- In the registry since
- 2021
Practice location Address checks out
1302 Heyward StColumbia, SC 29208-3407
Phone: (262) 765-1267
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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 2000038516 (SC) |
|---|
Record details
| NPI number | 1508530551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 3, 2021 |
| Last updated in NPPES | August 3, 2021 |
| Certification date | August 3, 2021 |
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