Stephen M Bolyard
Individual provider Active NPI Physical Therapy Assistant · Hayesville, NC
NPI 1871864652 · NPPES record last updated Jan 30, 2012
Key facts
- NPI
- 1871864652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A3224 (NC)
- Practice address
- 86 Valley Hideaway Dr
Hayesville, NC 28904-9674 - Phone
- (828) 389-9941
- NPI assigned
- Jan 25, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3224 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A3224 | NC | Yes |
Addresses
Primary practice location
86 Valley Hideaway Dr
Hayesville, NC 28904-9674
Mailing address
1265 Tomotla Rd
Marble, NC 28905-8406
Other providers in Hayesville, NC
- William Amundsen
- Appalachia Pelvic Health and Wellness
- Anne Young Baldwin
- Amanda Leigh Berry
- Elizabeth Fox Bigham
- Denis Gustave Bourguignon
- Bridging the Gap Family Care Home, Inc.
- Bridging the Gap in Home Aide Service, Inc.
- Diana Elizabeth Brown
- Ronald Lawrence Bruder
All providers in Hayesville, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2012. 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.