IndividualActive
Ryan Boudreaux, PT, DPT
NPI 1225437866 · Neurology Physical Therapist · Chicago, IL
Provider details
- NPI number
- 1225437866
- Entity type
- Individual
- Primary specialty
- Neurology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT011641 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1725 W Harrison St Ste 440
Chicago, IL 60612-3836
Phone: (312) 563-2454
Approximate (ZIP-level) locationGet directions
Mailing address
1725 W Harrison St Ste 440
Chicago, IL 60612-3836
Registry dates
- Enumerated
- 2014-08-20
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.