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Matthew Charles Bouche, PT,CSCS
Sports Physical Therapist in St. Paul, Minnesota
NPI 1033785027

Matthew Charles Bouche is a Sports Physical Therapist based in Eagan, MN and is specialized in Sports. Matthew Charles Bouche practices in St. Paul, MN and has the professional credentials of PT,CSCS. The NPI Number for Matthew Charles Bouche is 1033785027 and holds a License No. 11806 (Minnesota).

The current practice location address for Matthew Charles Bouche is 2155 Ford Parkway, St. Paul, MN and can be reached out via phone at 651-696-5010.

Location: 2155 Ford Parkway, St. Paul, MN, 55123-1367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033785027
Provider Name
Matthew Charles Bouche
Credential
PT,CSCS
Provider Entity Type
Individual
Gender
Male
Address
2155 Ford Parkway, St. Paul, MN, 55123-1367
Phone Number
651-696-5010
Fax Number
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2155 Ford Parkway
City
St. Paul
State
Minnesota
Zip
55116-1862
Phone Number
651-696-5010
Fax Number
person
Provider Business Mailing Address Details
Address
2155 Ford Parkway
City
St. Paul
State
Minnesota
Zip
55116-1862
Phone Number
651-696-5010
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
11806 (Minnesota)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
11806 (Minnesota)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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