TYLER ZACHARY BOUCHARD

NPI: 1508530551 · Individual · Active

Primary Specialty

Athletic Trainer
Specialist/Technologist — Athletic Trainer

Practice Location

1302 HEYWARD ST
COLUMBIA, SC 29208-3407 Map ↗
Phone: 262-765-1267

All Specialties & Licenses

  • Athletic Trainer Primary — Athletic Trainer (license: 2000038516, SC)

HIE Endpoints

  • CONNECT: Columbia

NPI Registration

Enumerated: 2021-08-03

Last CMS Update: 2021-08-03