Provider Demographics
NPI:1386527554
Name:BOYER, BRITTANY (ATC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 MEADOWBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-3519
Mailing Address - Country:US
Mailing Address - Phone:660-651-7494
Mailing Address - Fax:
Practice Address - Street 1:2100 SILVA LN
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-3677
Practice Address - Country:US
Practice Address - Phone:660-263-6223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20120241132255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer