Mary Erin Boyette, ATC, LAT
Individual provider Active NPI Athletic Trainer · Lorena, TX
NPI 1215313838 · NPPES record last updated Mar 11, 2020
Key facts
- NPI
- 1215313838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 3100 Beutel Rd
Lorena, TX 76655 - Phone
- (979) 587-5920
- NPI assigned
- Aug 5, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
3100 Beutel Rd
Lorena, TX 76655
Mailing address
3100 Beutel Rd
Lorena, TX 76655
Phone (979) 587-5920
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT5341 | Other | TX | ATHLETIC TRAINER |
Other providers in Lorena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2020. 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.