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

LISA JO BOUDRIEAU, PT

Active

LISA JO BOUDRIEAU, PT is a Physical Therapy Assistant healthcare provider located in OVERLAND PARK, Kansas. NPI 1720095995 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · OVERLAND PARK, KS

Registration Details

NPI Number
1720095995
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2006 (20.014330205368 yrs)
Last Updated
Jul 8, 2007
License
3604 (KS)

Practice Information

Address
12000 W 110TH ST
SUITE 400
OVERLAND PARK, KS, 662103938
Browse KS providers · Browse ZIP 66210
Phone
8166797056
Fax
8165230306
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in OVERLAND PARK, KS

Name Credential NPI
KELLY M EHRNMAN RPT 1932191764
JOSEPH J VOGELSBERG M.S.P.T. 1316934631
TERESA S ROSE R.P.T. 1023005345
MITCHELL D BARBER M.S.P.T. 1750378071
LISSA F WINDHORST R.P.T. 1124015441
ALICE J SCHAFERSMAN R.P.T. 1477540797
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.