Individual
BRIAN BEAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9 WILLOUGHBY ST, SOMERVILLE, MA 02143-1202
(774) 230-8754
Mailing address
9 WILLOUGHBY ST, SOMERVILLE, MA 02143-1202
(774) 230-8754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATL22168
MA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/08/2023
Last updated
06/10/2025
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