Individual provider · Type 1 NPI

Kelsey Bourdon

Physical Therapy Assistant · Rogers, AR

NPI number 1174498497 Active

Practice location

224 S 2nd St
Rogers, AR 72756-4544

Call (479) 925-9300 Map

Mailing address

1 Mayfair Dr
Bella Vista, AR 72715-5390

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4694 (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 1174498497

Kelsey Bourdon's National Provider Identifier is 1174498497, issued on Oct 7, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rogers, AR. The record was last updated on Oct 7, 2025.