Individual provider · Type 1 NPI

Steven Bonham, PTA

Physical Therapy Assistant · Southaven, MS

NPI number 1093979148 Active

Practice location

385 Nail Rd, Apt B-21
Southaven, MS 38671-8853

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA2173AR (AR)

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 1093979148

Steven Bonham, PTA's National Provider Identifier is 1093979148, issued on Jul 17, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Southaven, MS. The record was last updated on Jul 17, 2008.