Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH BODDIE, PT
ActiveKEITH BODDIE, PT is a Physical Therapy Assistant healthcare provider located in MONROE, Georgia. NPI 1396079547 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MONROE, GA
Registration Details
- NPI Number
- 1396079547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2009 (16.873103018119 yrs)
- Last Updated
- Sep 21, 2009
- License
-
9763 (GA)
Practice Information
- Address
-
148 MARTIN LUTHER KING JR BLVDMONROE, GA, 306555620Browse GA providers · Browse ZIP 30655
- Phone
- 7702071137
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MONROE, GA
| Name | Credential | NPI |
|---|---|---|
| DEBORAH JEAN MORIARITY | PT | 1497759013 |
| MRS. SUSAN GERALD COOK | PT | 1295775955 |
| MR. DENNIS J MARTUCCI | PT | 1235170861 |
| JEFFREY FROMDAHL | MSPT | 1760414031 |
| ABIGAIL RUSSELL | — | 1750491817 |
| LISA BEDENBAUGH | — | 1528145216 |
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.