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

Lisa Jo Boudrieau, PT

Individual provider Physical Therapist · NPI 1720095995

Lisa Jo Boudrieau, PT is a Physical Therapist in Overland Park, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
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

12000 W 110th St Ste 400
Overland Park, KS 66210-3938
Phone: (816) 679-7056
Fax: (816) 523-0306
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3604 (KS)

Record details

NPI number1720095995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 8, 2007

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