Tyler Bouchard

Physical Therapy Assistant · Davis, CA

Individual Active NPI

NPI number 1649887076

Practice location

1515 Shasta Dr
Davis, CA 95616-6691
Phone
(707) 803-3156

Open in Google Maps

NPI record

NPI
1649887076
Entity type
Individual (Type 1)
Enumeration date
September 29, 2020
Last updated
September 29, 2020
Certified
September 29, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA50692 CA

Mailing address

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

About Tyler Bouchard

Tyler Bouchard is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1515 Shasta Dr, Davis, CA 95616-6691. The NPI number 1649887076 was assigned on September 29, 2020 and the record was last updated on September 29, 2020.

Tyler Bouchard lists a license in the registry: #PTA50692 (CA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyler Bouchard?

The NPI number is 1649887076.

What is the phone number of Tyler Bouchard?

The phone number listed for the practice location is (707) 803-3156.

Where is Tyler Bouchard located?

1515 Shasta Dr, Davis, CA 95616-6691.

What is the taxonomy code for Tyler Bouchard?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapy Assistant providers in Davis

All Physical Therapy Assistant providers in Davis, CA →