Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARC BOULTS
ActiveMARC BOULTS is a Physical Therapy Assistant healthcare provider located in BRANDON, Florida. NPI 1033416631 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BRANDON, FL
Registration Details
- NPI Number
- 1033416631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2011 (15.495576370862 yrs)
- Last Updated
- Apr 17, 2014
- License
-
PT 26221 (FL)
Practice Information
- Address
-
602 VONDERBURG DRSUITE 201BRANDON, FL, 335115900Browse FL providers · Browse ZIP 33511
- Phone
- 8636179400
- Fax
- 8636889858
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BRANDON, FL
| Name | Credential | NPI |
|---|---|---|
| WILLIAM J MCCORMICK | MS, PT | 1649270471 |
| MS. CARMITHA M SHERMAN | PT | 1801888540 |
| STEPHEN R DARCY | PT | 1114909975 |
| MS. DINA M TRAFICANTE | MPT | 1144252651 |
| DR. KYLE MICHAEL SCHANEVILLE | PT, DPT, OCS, MTC | 1326066325 |
| MRS. OLGA J AROCHO | PT | 1598787335 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.