John Boucher, P.T

NPI 1457371718 · on the registry since 2006

Practice

Address: 1430 W Baddour Pkwy
Suite C
Lebanon, TN 37087
Phone: (615) 453-1422
Fax: (615) 453-1429
Organisation at this address: Wells Ness
Tenn Sm, Llc
Impact Physical Therapy, Llc
Lebanon Family Dentistry Llc
Lifetime Hearing Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-10-01

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 Tennessee