Individual provider · Type 1 NPI

Jennifer Dixon Bogan, PT

Physical Therapist · Olive Branch, MS

NPI number 1093122145 Active

Practice location

6760 Goodman Rd
Olive Branch, MS 38654-9892

Mailing address

7545 Airways Blvd
Southaven, MS 38671-5806

Other practice locations

  • 7545 Airways Blvd, Southaven, MS 38671-5806 · (901) 759-3208

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT4073 (MS)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1093122145

Jennifer Dixon Bogan, PT's National Provider Identifier is 1093122145, issued on Jul 21, 2014. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Olive Branch, MS. The record was last updated on May 17, 2025.