SearchSouth CarolinaAthletic Trainer

Tyler Bouchard

NPI 1508530551 · on the registry since 2021

Practice

Address
1302 Heyward St
Columbia, SC 29208
Phone
(262) 765-1267
Clinicians at this address
2

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina