| Frank A Boutiette, PT, DPT | |
|
2751 Commercial Blvd Ste 5, Lake Hallie, WI 54729-5080 | |
| (800) 974-4378 | |
| (630) 515-1536 |
| Full Name | Frank A Boutiette |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2751 Commercial Blvd Ste 5, Lake Hallie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932230208 | NPI | - | NPPES |
| 40183700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3524-24 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Frank A Boutiette, PT, DPT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378 | Frank A Boutiette, PT, DPT 2751 Commercial Blvd Ste 5, Lake Hallie, WI 54729-5080 Ph: (800) 974-4378 |
Mr. Michael J Gilboy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2751 Commercial Blvd Ste 5, Lake Hallie, WI 54729 Phone: 800-974-4378 Fax: 630-515-1536 | |
Aaron A Gustum, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2751 Commercial Blvd Ste 5, Lake Hallie, WI 54729 Phone: 800-974-4378 Fax: 630-515-1536 |