National Provider Identifier
Maddie Boerman
Maddie Boerman is listed in the NPPES registry with a primary specialty of Athletic Trainer in Lansing, NY and a listed phone number of (607) 222-8315.
Profile Overview
- NPI
- 1770116162
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 13, 2020
- Last Updated
- February 13, 2020
Practice Location
- 81 Wilson RD
- Lansing, NY 14882-9017
Phone: (607) 222-8315
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1770116162
- Entity Type
- Individual
- Last Name
- Boerman
- First Name
- Maddie
- Mailing Street Address
- 81 Wilson RD
- Mailing City
- Lansing
- Mailing State
- NY
- Mailing ZIP Code
- 14882-9017
- Mailing Country
- US
- Practice Street Address
- 81 Wilson RD
- Practice City
- Lansing
- Practice State
- NY
- Practice ZIP Code
- 14882-9017
- Practice Country
- US
- Practice Phone
- (607) 222-8315
- Enumeration Date
- February 13, 2020
- Last Updated
- February 13, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)