Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW CHARLES BOUCHE, PT, CSCS
ActiveMATTHEW CHARLES BOUCHE, PT, CSCS is a Environmental Modification (OT) healthcare provider located in ST. PAUL, Minnesota. NPI 1033785027 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · ST. PAUL, MN
Registration Details
- NPI Number
- 1033785027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2021 (5.2146750918291 yrs)
- Last Updated
- Jun 1, 2021
- Licenses
-
11806 (MN)11806 (MN)
Practice Information
- Address
-
2155 FORD PARKWAYST. PAUL, MN, 551161862Browse MN providers · Browse ZIP 55116
- Phone
- 6516965010
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Environmental Modification (OT)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.