=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740553114
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID ARTHUR BOYER A.T.C
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2012
-----------------------------------------------------
Last Update Date | 07/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1349 S ROCHESTER RD STE 215
-----------------------------------------------------
City | ROCHESTER HILLS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48307-3152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-239-5300
-----------------------------------------------------
Fax | 248-239-5305
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1349 S ROCHESTER RD STE 215
-----------------------------------------------------
City | ROCHESTER HILLS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48307-3152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-239-5300
-----------------------------------------------------
Fax | 248-239-5305
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2255A2300X
-----------------------------------------------------
Taxonomy Name | Athletic Trainer
-----------------------------------------------------
License Number | 2601000690
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------