Individual provider · Type 1 NPI

Katie Boudreau

Physical Therapy Assistant · Kankakee, IL

NPI number 1801217153 Active

Practice location

1601 Butterfield Trl
Kankakee, IL 60901-2959

Call (815) 936-6500 Map

Mailing address

6170 W 2000N Rd
Bonfield, IL 60913-6700

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.006489 (IL)

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 1801217153

Katie Boudreau's National Provider Identifier is 1801217153, issued on Jan 3, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kankakee, IL. The record was last updated on Jan 3, 2014.