Individual provider · Type 1 NPI

Blake A. Ballard, PTA

Physical Therapy Assistant · Monticello, MS

NPI number 1487255535 Active

Practice location

314 Main St Ste C
Monticello, MS 39654-3702

Call (601) 587-2563 Map

Fax (601) 587-0472

Mailing address

PO Box 457
Monticello, MS 39654-0457

Other practice locations

  • 101 W Marion Ave, Crystal Springs, MS 39059-2660 · (601) 892-8707
  • 312 Kendall Ave, Mccomb, MS 39648-2806 · (601) 250-5517
  • 335 E Bay St, Magnolia, MS 39652-2815 · (601) 783-0220
  • 509 Brookway Blvd, Brookhaven, MS 39601-3266 · (601) 833-7317

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA6757 (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 …

3 other providers at this address

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About NPI 1487255535

Blake A. Ballard, PTA's National Provider Identifier is 1487255535, issued on Nov 5, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Monticello, MS. The record was last updated on Nov 5, 2020.