Bobbie Hughes

Individual provider Active NPI Physical Therapy Assistant · Mendenhall, MS

NPI 1508246299 · NPPES record last updated Jun 8, 2015

Key facts

NPI
1508246299
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA5161 (MS)
Practice address
121 Hughes Dr
Mendenhall, MS 39114-8935
Phone
(601) 668-7844
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
Yes

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
PTA5161MSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA5161 MS Yes

Addresses

Primary practice location

121 Hughes Dr
Mendenhall, MS 39114-8935

Mailing address

121 Hughes Dr
Mendenhall, MS 39114-8935

Other providers in Mendenhall, MS

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

Sources for this page

Verify at the official NPI Registry.