Kenneth Logan Bouchey

NPI #1659222800 in Buxton, Maine

Provider Information

NPI Number: 1659222800
Entity Type: Individual
Name: Kenneth Logan Bouchey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 4, 2026
Last Updated: Feb 4, 2026

Practice Location

Address: 9 HANNAFORD DR
City: Buxton
State: Maine
ZIP Code: 04093-6583
Phone: (207) 815-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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