Jessica E Boyer, PTA
Individual provider Active NPI Physical Therapy Assistant · Arnold, MO
NPI 1780164384 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1780164384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2018026070 (MO)
- Practice address
- 2289 Crystal Wood Dr
Arnold, MO 63010-4178 - Phone
- (314) 667-9317
- NPI assigned
- Aug 14, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018026070 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2018026070 | MO | Yes |
Addresses
Primary practice location
2289 Crystal Wood Dr
Arnold, MO 63010-4178
Mailing address
2289 Crystal Wood Dr
Arnold, MO 63010-4178
Phone (314) 667-9317
Other providers in Arnold, MO
- Valerie Marie Bowie
- Caitlyn Carissa Bowling
- Carrie Elena Bowling
- Aubrey N Boyd
- Gwen Boyd
- Bradley Chiropractic LLC
- Shawn Bradley
- Brooke Bradow
- Melanie R Brady
- Melissa A Brennan
All providers in Arnold, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2018. 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.