Organization · Type 2 NPI

Through the Roof Pediatric Therapy

Pediatric Physical Therapist · Hernando, MS

NPI number 1225414717 Active

Practice location

1145 Milam Ln
Hernando, MS 38632-7719

Mailing address

1895 Thousand Oaks Dr
Hernando, MS 38632-8914

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT0828 (MS)
Pediatric Occupational Therapist 225XP0200XOT2977 (MS)
Speech-Language Pathologist 235Z00000XS3688 (MS)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

About NPI 1225414717

Through the Roof Pediatric Therapy's National Provider Identifier is 1225414717, issued on Aug 6, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Hernando, MS. The record was last updated on Aug 6, 2015.