Individual provider · Type 1 NPI

Kyle Boudreau

Physical Therapist · Park Ridge, IL

NPI number 1306752969 Active

Practice location

250 S Northwest Hwy Ste 204
Park Ridge, IL 60068-4237

Fax (773) 594-2113

Mailing address

250 S Northwest Hwy Ste 200
Park Ridge, IL 60068-4252

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1306752969

Kyle Boudreau's National Provider Identifier is 1306752969, issued on Aug 21, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Park Ridge, IL. The record was last updated on Aug 21, 2026.