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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RILEY JAY BOUCHARD

Active

RILEY JAY BOUCHARD is a Physical Therapy Assistant healthcare provider located in ANDERSON, Indiana. NPI 1255982922 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ANDERSON, IN

Registration Details

NPI Number
1255982922
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2019 (6.8877651365345 yrs)
Last Updated
Sep 24, 2019
License
05013568A (IN)

Practice Information

Address
4020 COLUMBUS AVE
ANDERSON, IN, 460135010
Browse IN providers · Browse ZIP 46013
Phone
7656417605
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ANDERSON, IN

Name Credential NPI
COURTNEY RAE DESHONG PT 1689624546
REBECCA SUE BORGERDING P.T. 1558390831
MS. PATCHARAPORN ANGKINANTANA P.T. 1184794901
MRS. UMARANI MURUGESAN GUNASEKARAN P.T 1457424509
ANNA MARIE AZOTE P.T. 1366625527
JENNIFER SMIDDY PT 1497931497
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.