Individual
COLTON BOVERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-4118
(253) 968-1110
Mailing address
10005 ALASKA ST S, TACOMA, WA 98444-2809
(505) 525-3019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161543452
WA
2255A2300X
Athletic Trainer
AT8128
TX
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/09/2015
Last updated
10/28/2025
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