Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD BOLT
Active Sole ProprietorPhysical Therapy Assistant · ST SIMONS ISLAND, GA
Registration Details
- NPI Number
- 1215313630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2015 (10.747961151495 yrs)
- Last Updated
- Jan 30, 2018
- License
-
PT012047 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 RETREAT VLG STE 212ST SIMONS ISLAND, GA, 315222403Browse GA providers · Browse ZIP 31522
- Phone
- 9126381444
- Fax
- 9126380077
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ST SIMONS ISLAND, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH THOMPSON DANIEL | PT | 1639269574 |
| MR. MICHAEL TIMOTHY MILLER | MPT | 1053401885 |
| MR. RONNIE BRANTLEY JONES JR. | MPT | 1881784619 |
| MICHELE DIANE BORST | PT | 1811031206 |
| MRS. KATIE M SEYMOUR | MPT | 1124145800 |
| MISS LAURA L. GLAZIER | D.P.T. | 1548564271 |
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.