David Bouchard , PTA
Specialist • Holly, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Bouchard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
David Bouchard, PTA was a registered Specialist practicing in Holly, MI. Throughout an active medical career spanning 13 years, David Bouchard provided care at the practice location at 853 DEER VALLEY RD until profile deactivation on 2023-12-06.
Practice Location & Contact Primary Location
853 Deer Valley Rd
Holly, MI 484421564
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Holly, MI
Practicing in Holly, MI (867 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
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Record deactivated on December 06, 2023
NPI status registered as active in NPPES database
Registered at 853 DEER VALLEY RD, HOLLY, MI 484421564 (Tel: 2499820659)
Registered at 853 DEER VALLEY RD, HOLLY, MI 484421564 (Tel: 2499820659)
Recorded as DAVID BOUCHARD, PTA
Specialist (License #5502000532 in MI)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
853 Deer Valley Rd
Holly, MI 484421564
Phone: 2499820659
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