Dontavious Toles, PTA
Individual provider Active NPI Physical Therapy Assistant · Water Valley, MS
NPI 1124687207 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1124687207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 50 Main St
Water Valley, MS 38965 - Phone
- (662) 473-4777
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
50 Main St
Water Valley, MS 38965
Mailing address
104 County Road 550
Water Valley, MS 38965-3484
Phone (662) 801-2104
Other providers in Water Valley, MS
- Steve Edwards
- Victoria Sturdivant
- Deana Terry
- Stacy Parker Thomas
- Claude Steve Thompsom
- Ben F Toole
- Turnage Drug Store Inc
- Vicki L Turnage
- Natalie Bryant Turner
- Valley Drugs, Inc.
All providers in Water Valley, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.