Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DAVID BOUTROS, PT, DPT
ActiveMARK DAVID BOUTROS, PT, DPT is a Physical Therapy Assistant healthcare provider located in SALEM, Oregon. NPI 1508226416 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SALEM, OR
Registration Details
- NPI Number
- 1508226416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2016 (10.259724581125 yrs)
- Last Updated
- Mar 4, 2016
- License
-
64192 (OR)
Practice Information
- Address
-
3270 LIBERTY RD SSALEM, OR, 97302Browse OR providers · Browse ZIP 97302
- Phone
- 5033710779
- Fax
- 5033710886
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN A MARQUARDT | PT | 1437156460 |
| MR. JAMES M BOURDET | PT | 1609873637 |
| ERIK W DEPROOST | PT | 1417959248 |
| MRS. JENNIFER LYNN HARTFORD | P.T. | 1447231238 |
| EVAN ROGER JONES | PHYSICAL THERAPIST | 1982687729 |
| JEFFREY RAYMOND BLANCHARD | PT | 1083698450 |
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.