Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB PAUL BOUCHER
Active Sole ProprietorJACOB PAUL BOUCHER is a Ergonomics (Occupational Therapy) healthcare provider located in GRAFTON, Wisconsin. NPI 1619501442 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · GRAFTON, WI
Registration Details
- NPI Number
- 1619501442
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2020 (6.4634710843124 yrs)
- Last Updated
- Mar 27, 2025
- License
-
17078-24 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1235 DAKOTA DR STE LGRAFTON, WI, 530249477Browse WI providers · Browse ZIP 53024
- Phone
- 2623762085
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
Other Ergonomics (Occupational Therapy) Providers in GRAFTON, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. SHERI LYNN HABERKORN | MASTERS | 1427185339 |
| MR. NEAL PHILIP SCIBELLI | DPT | 1679918171 |
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.