Julia Darlene Carney, LPTA

Individual provider Active NPI Physical Therapy Assistant · Waynesboro, MS

NPI 1285374256 · NPPES record last updated Mar 29, 2022

Key facts

NPI
1285374256
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA3913 (MS)
Practice address
1304 Walnut St
Waynesboro, MS 39367-2232
Phone
(601) 735-9025
NPI assigned
Mar 29, 2022
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
PTA3913MSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA3913 MS Yes

Addresses

Primary practice location

1304 Walnut St
Waynesboro, MS 39367-2232

Mailing address

1749 Blair St
Waynesboro, MS 39367-2201

Other providers in Waynesboro, MS

All providers in Waynesboro, MS · Physical Therapy Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.