Bouche, Matthew Charles

Bouche, Matthew Charles is an individual health care provider with primary practice located at 2155 Ford Parkway , St. Paul MN 55116-1862. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Bouche, Matthew Charles can be contacted via phone (651) 696-5010.

Contact Information

Primary practice address
2155 Ford Parkway St. Paul MN 55116-1862
Phone: (651) 696-5010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 11806 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 11806 Minnesota

Profile Details

NPI number 1033785027
LBN Legal business name Bouche, Matthew Charles
Credentials PT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2021
Last updated Jun 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers