Catherine Jean Boerner, MS, AT, ATC
Individual provider Active NPI Athletic Trainer · Alma, MI
NPI 1124408729 · NPPES record last updated May 3, 2018
Key facts
- NPI
- 1124408729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601001351 (MI)
- Practice address
- 614 W Superior St
Alma, MI 48801-1599 - Phone
- (989) 463-7989
- Fax
- (989) 463-7431
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601001351 | MI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601001351 | MI | Yes |
Addresses
Primary practice location
614 W Superior St
Alma, MI 48801-1599
Mailing address
614 W Superior St
Alma, MI 48801-1599
Phone (989) 463-7989
Other names
- Catherine Newman
Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.