Matthew Charles Bouche
Physical Therapist - Sports Physical Therapist - Orthopedic
2155 Ford Parkway
StPaul
, Minnesota 55116-1862
Matthew Charles Bouche
Physical Therapist - Sports Physical Therapist - Orthopedic
2155 Ford Parkway
StPaul
, Minnesota 55116-1862
(920) 621-7074
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About
Features
Specialties
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Matthew Charles Bouche
- 3519 Sawgrass Trl E
- Eagan, MN
- Zip : 55123-1367
- Phone : (920) 621-7074
Second Address
- Matthew Charles Bouche
- 2155 Ford Parkway
- St. Paul, MN
- Zip : 55116-1862
- Phone : (651) 696-5010
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 11806 | MN |
| N | 2251X0800X | Physical Therapist - Orthopedic | 11806 | MN |
National Provider Identifier
| NPI | 1033785027 |
|---|---|
| Provider Name | Matthew Charles Bouche |
| First Address | Eagan, MN 55123-1367 |
| Second Address | St. Paul, MN 55116-1862 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.