Shannon Bouvier, ATC
Individual provider Active NPI Athletic Trainer · Williston, VT
NPI 1366903288 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1366903288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 115 Wellness Dr
Williston, VT 05495-2088 - Phone
- (802) 488-3278
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Center of Vermont LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
115 Wellness Dr
Williston, VT 05495-2088
Mailing address
277 North St
Burlington, VT 05401-3638
Phone (860) 490-2865
Other providers in Williston, VT
- Allison Marie Bogan
- Aliza Bogner
- Boreal Psychiatry PLC
- Lillian Marie Borek
- Melanie Bouchard
- Anna Boziwick
- Christina J.B. Bradford
- Tasha Bradley
- Aislinn Bragaia
- Keiba Bragg-Best
All providers in Williston, VT · Athletic Trainer in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. 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.