Individual provider · Type 1 NPI
Olivia Gayle King, PTA
Physical Therapy Assistant · Rolling Fork, MS
Practice location
47 S Fourth St
Rolling Fork, MS 39159-5146
Fax (601) 607-1379
Mailing address
711 Avignon Dr
Ridgeland, MS 39157-5120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 8560 (TN) |
| Physical Therapy Assistant | 225200000X | PTA6204 (MS) |
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 1124536487
Olivia Gayle King, PTA's National Provider Identifier is 1124536487, issued on Jan 19, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rolling Fork, MS. The record was last updated on Nov 15, 2023.