Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DEIDRA MARIE EDWARDS, PT
Active Sole ProprietorMS. DEIDRA MARIE EDWARDS, PT is a Physical Therapy Assistant healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1386846772 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1386846772
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2007 (19.003877529179 yrs)
- Last Updated
- May 26, 2016
- Licenses
-
2005020197 (MO)2005020197 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7075 PULASKI AVEFORT LEONARD WOOD, MO, 654731041Browse MO providers · Browse ZIP 65473
- Phone
- 5738422650
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| BARRY DWAYNE WHITESIDE | PT | 1073556973 |
| MRS. CHRISTINE MARIE TITKO | MPT | 1447261763 |
| MRS. MARYCRIS MEDINA GANDIONCO | P.T. | 1003912007 |
| ANGELA RENEE DIEBAL-LEE | DPT, DSC, OCS, SCS | 1235296112 |
| MATTHEW SCOTT NEAL | DPT | 1831317072 |
| MICHAEL ANTHONY MORRIS | PT | 1831377290 |
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.