Search › Illinois › 225100000X
Kyle Boudreau, P.T
NPI 1336594282 · on the registry since 2016
Practice
- Address
- 557 Main St Nw
Bourbonnais, IL 60914 - Phone
- (815) 839-2090
- Fax
- (815) 209-9304
Additional practice sites
- 1397 Main St Ste A, Crete, IL
- 1511 N Convent St, Bourbonnais, IL
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois