Individual provider · Type 1 NPI

Sam Davis Hudnall Jr., PTA

Physical Therapy Assistant · Meridian, MS

NPI number 1629620737 Active

Practice location

4908 Great River Dr
Meridian, MS 39305-2663

Call (601) 453-3632 Map

Fax (601) 453-3633

Mailing address

199 N Brookmoore Dr
Columbus, MS 39705-2024

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA6024 (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 1629620737

Sam Davis Hudnall Jr., PTA's National Provider Identifier is 1629620737, issued on Jul 10, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Meridian, MS. The record was last updated on Jul 10, 2019.