Individual provider · Type 1 NPI

Dia McMullen

Physical Therapy Assistant · Bossier City, LA

NPI number 1083520464 Active

Practice location

1743 Swan Lake Rd Ste E
Bossier City, LA 71111-5366

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA12476 (LA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083520464

Dia McMullen's National Provider Identifier is 1083520464, issued on Aug 24, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bossier City, LA. The record was last updated on Aug 24, 2026.