Individual provider · Type 1 NPI

Derrick Boyd, PTA, BS

Physical Therapy Assistant · Godfrey, IL

NPI number 1376153874 Active

Practice location

1373 Dadrian Professional Park
Godfrey, IL 62035-1767

Call (706) 261-8467 Map

Mailing address

1978 Oberlin Dr Apt 1978
St. Louis, MO 63146-2868

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X160.008973 (IL)
Physical Therapy Assistant Primary 225200000X2020030538 (MO)

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 1376153874

Derrick Boyd, PTA, BS's National Provider Identifier is 1376153874, issued on Aug 9, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Godfrey, IL. The record was last updated on Nov 18, 2020.