Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA BOSS, DPT, ATC
ActiveMIRANDA BOSS, DPT, ATC is a Physical Therapy Assistant healthcare provider located in KEWANEE, Illinois. NPI 1386078756 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KEWANEE, IL
Registration Details
- NPI Number
- 1386078756
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2013 (12.986042830854 yrs)
- Last Updated
- Oct 29, 2013
- License
-
070-020103 (IL)
Practice Information
- Address
-
1258 W SOUTH STSUITE 1KEWANEE, IL, 614438300Browse IL providers · Browse ZIP 61443
- Phone
- 3098522200
- Fax
- 8662458064
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KEWANEE, IL
| Name | Credential | NPI |
|---|---|---|
| JON A DEBORD | PT MS ATC SCS | 1740247394 |
| MR. DANIEL BRYAN | PT | 1952359226 |
| MR. PHILIP GAMBON | PT | 1285682526 |
| SCOTT SALISBURY | PT, DPT, ATC, CSCS | 1487820411 |
| APRIL DAWN TAYLOR | PT, DPT | 1598088981 |
| DR. AMANDA K KOCIS | DPT | 1144530981 |
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.