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

John R Boucher, PT

Individual provider Physical Therapist · NPI 1457371718

John R Boucher, PT is a Physical Therapist in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1430 W Baddour Pkwy Ste C
Lebanon, TN 37087-2656
Phone: (615) 453-1422
Fax: (615) 453-1429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05269 (TN)

Record details

NPI number1457371718
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 1, 2013
Mailing address1430 W Baddour Pkwy, Suite C, Lebanon, TN 37087-2656

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