Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE BOUDREAU, P.T.
ActiveKYLE BOUDREAU, P.T. is a Physical Therapy Assistant healthcare provider located in BOURBONNAIS, Illinois. NPI 1336594282 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1336594282
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2016 (10.301834035045 yrs)
- Last Updated
- Aug 4, 2022
- License
-
070020042 (IL)
Practice Information
- Address
-
557 MAIN ST NWBOURBONNAIS, IL, 609142305Browse IL providers · Browse ZIP 60914
- Phone
- 8158392090
- Fax
- 8152099304
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BOURBONNAIS, IL
| Name | Credential | NPI |
|---|---|---|
| KATHRYN BOZINOVICH | PT | 1629056825 |
| JOSELITO V SAYSON | PT | 1740224070 |
| JEFFREY BOHAC | PT | 1841221314 |
| ELIZABETH ELKINS | PT, DPT | 1508897943 |
| MRS. CARLA SCHIMMELPFENNIG | P.T. | 1972527851 |
| SHEFALI PATEL | MPT | 1578576518 |
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.