Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRACLE A DOUGLAS, PT, DPT
ActiveMIRACLE A DOUGLAS, PT, DPT is a Physical Therapy Assistant healthcare provider located in CLIMAX, Georgia. NPI 1407203920 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CLIMAX, GA
Registration Details
- NPI Number
- 1407203920
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2016 (10.260069426283 yrs)
- Last Updated
- Feb 17, 2026
- Licenses
-
PT31362 (FL)CP023035T (TN)PT014961 (GA)
Practice Information
- Address
-
150 BRADWELL LASTER RDCLIMAX, GA, 398342603Browse GA providers · Browse ZIP 39834
- Phone
- 4707109221
- Fax
- 4702750690
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
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.