Individual provider · Type 1 NPI

Susan Bolden

Physical Therapy Assistant · Mccomb, MS

NPI number 1154530541 Active

Practice location

206 Maryland Ave
Mccomb, MS 39648-3926

Fax (601) 250-6859

Mailing address

2401 Linden Ave
Texarkana, AR 71854-3859

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X999 (AR)
Physical Therapy Assistant Primary 225200000X2017158 (TX)

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 1154530541

Susan Bolden's National Provider Identifier is 1154530541, issued on May 22, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mccomb, MS. The record was last updated on Sep 11, 2025.