Individual provider · Type 1 NPI

Cody O'Neal Broom

Physical Therapy Assistant · Columbia, MS

NPI number 1720738099 Active

Practice location

11 Pecan Dr
Columbia, MS 39429-2600

Call (601) 731-5717 Map

Fax (601) 633-0082

Mailing address

599C Steed Rd
Ridgeland, MS 39157-1707

Other practice locations

  • 3261 Highway 49, Collins, MS 39428-3876 · (601) 921-6043

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA7008 (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 …

4 other providers at this address

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About NPI 1720738099

Cody O'Neal Broom's National Provider Identifier is 1720738099, issued on Mar 28, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Columbia, MS. The record was last updated on Jun 22, 2022.