Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addison Coulter

Individual provider Physical Therapy Assistant · NPI 1366892861

Addison Coulter is a Physical Therapy Assistant in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

1275 N Convent St Ste 3
Bourbonnais, IL 60914-8210
Phone: (815) 936-1855
Fax: (815) 936-6097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (IL)

Record details

NPI number1366892861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 15, 2016
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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