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

Kevin Robert Bouchard-Hall, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1710291356

Kevin Robert Bouchard-Hall, PHYSICALTHERAPY is a Physical Therapist in Elizabethtown, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

66 Park St Ste 100
Elizabethtown, NY 12932-0000
Phone: (518) 873-2408
Fax: (518) 873-3205
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P75321 (NY)

Record details

NPI number1710291356
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPY
Sole proprietorNo
NPI enumeratedAugust 5, 2010
Last updated in NPPESAugust 5, 2010

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