Individual provider · NPI-1

Hannah Marie Boutwell

Specialist/Technologist, Athletic Trainer · Scottsdale, AZ

NPI number1093344780
StatusActive
Last updated in NPPESJul 2, 2024

Details

NPI
1093344780
Entity type
Individual (NPI-1)
Name
Hannah Marie Boutwell
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 3, 2020
Certification date
Jul 2, 2024
Last updated
Jul 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

7555 N Pima Rd
Scottsdale, AZ 85258-4013

Phone 480-270-5000

Mailing address

19591 Brisbane Dr
Riverside, CA 92508-6068

Phone 951-565-6590

Other practice locations

19591 Brisbane Dr
Riverside, CA 92508-6068

Phone 951-565-6590

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