| Jacob Paul Boucher, | |
|
1235 Dakota Dr Ste L, Grafton, WI 53024-9477 | |
| (262) 376-2085 | |
| Not Available |
| Full Name | Jacob Paul Boucher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1235 Dakota Dr Ste L, Grafton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619501442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 17078-24 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Paul Boucher, 2001 Alford Park Dr, Kenosha, WI 53140-1927 Ph: (262) 424-5253 | Jacob Paul Boucher, 1235 Dakota Dr Ste L, Grafton, WI 53024-9477 Ph: (262) 376-2085 |
Anne R. Harley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-376-6020 | |
Christopher David Potter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 Phone: 262-474-0063 Fax: 262-222-6281 | |
Mrs. Lauren Monticelli, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700 | |
Ms. Abbey Lynn Valentine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-4888 | |
Rachel Ann Schraufnagel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1235 Dakota Dr Ste L, Grafton, WI 53024 Phone: 262-376-2085 | |
Jacob Mcchrystal, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 |