Individual provider · Type 1 NPI

Travis Dale Hodgson, PTA

Physical Therapy Assistant · Olive Branch, MS

NPI number 1386691632 Active

Practice location

7501 Goodman Rd, Suite I
Olive Branch, MS 38654

Fax (662) 890-3385

Mailing address

9100 Champlain Dr
Olive Branch, MS 38654

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA3566 (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 …

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About NPI 1386691632

Travis Dale Hodgson, PTA's National Provider Identifier is 1386691632, issued on May 30, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Olive Branch, MS. The record was last updated on Jul 13, 2026.