Individual provider · Type 1 NPI
Raven Celeste Boatman, PTA
Physical Therapy Assistant · Grenada, MS
Practice location
1966 F S Hill Dr
Grenada, MS 38901-5047
Mailing address
23845 Highway 8 E
Grenada, MS 38901-9148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA6380 (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 …
Another provider at this address
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About NPI 1134701642
Raven Celeste Boatman, PTA's National Provider Identifier is 1134701642, issued on Apr 23, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grenada, MS. The record was last updated on Apr 23, 2021.