Christina Marie Bourbeau, ATC
Individual provider Active NPI Athletic Trainer · Vail, CO
NPI 1235458381 · NPPES record last updated Jan 3, 2017
Key facts
- NPI
- 1235458381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 108 S Frontage Rd W Ste 206
Vail, CO 81657-5086 - Phone
- (970) 306-5089
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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
108 S Frontage Rd W Ste 206
Vail, CO 81657-5086
Mailing address
108 S Frontage Rd W Ste 206
Vail, CO 81657-5086
Phone (970) 306-5089
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2017. 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.