Individual provider · Type 1 NPI

Stacy L. Holder, PTA09

Physical Therapy Assistant · Southaven, MS

NPI number 1649554890 Active

Practice location

83 Airways Pl
Southaven, MS 38671-5885

Call (662) 349-8787 Map

Fax (662) 349-8757

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA4995 (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 1649554890

Stacy L. Holder, PTA09's National Provider Identifier is 1649554890, issued on Oct 6, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Southaven, MS. The record was last updated on Oct 6, 2011.