Individual provider · Type 1 NPI

Marilyn Katherin Bouldin, PTA

Physical Therapy Assistant · Cameron, MO

NPI number 1548658735 Active

Practice location

801 Euclid Ave
Cameron, MO 64429-2003

Fax (816) 632-3757

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2013025656 (MO)
Physical Therapy Assistant 225200000X14-02553 (KS)

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 1548658735

Marilyn Katherin Bouldin, PTA's National Provider Identifier is 1548658735, issued on Dec 23, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cameron, MO. The record was last updated on Dec 23, 2014.