Ashley Lynn Boutain, ATC
Specialist/Technologist, Athletic Trainer in Alexandria, MN. Individual provider (NPI-1).
NPI number1386972909
StatusActive
Last updated in NPPESApr 18, 2014
Details
- NPI
- 1386972909
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ashley Lynn Boutain
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2009
- Last updated
- Apr 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2183 | MN | Yes |
Practice location
111 17th Ave ESuite 101
Alexandria, MN 56308-3734
Phone 320-762-1144 · Fax 320-762-1935
Mailing address
111 17th Ave ESuite 101
Alexandria, MN 56308-3734
Phone 320-762-1144 · Fax 320-762-1935
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All 27 Athletic Trainer providers in Alexandria · All 1,002 providers in Alexandria
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