Individual provider · Type 1 NPI

Tyler Bouchard

Physical Therapy Assistant · Davis, CA

NPI number 1649887076 Active

Practice location

1515 Shasta Dr
Davis, CA 95616-6691

Call (707) 803-3156 Map

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA50692 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1649887076

Tyler Bouchard's National Provider Identifier is 1649887076, issued on Sep 29, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Davis, CA. The record was last updated on Sep 29, 2020.