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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA BALLARD, PT, DPT

Active

MIRANDA BALLARD, PT, DPT is a Physical Therapy Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1568711893 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MERIDIAN, ID

Registration Details

NPI Number
1568711893
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2012 (13.928550305588 yrs)
Last Updated
Jun 4, 2020
License
PT-3012 (ID)

Practice Information

Address
179 SW 5TH AVENUE
MERIDIAN, ID, 83642
Browse ID providers · Browse ZIP 83642
Phone
2083678282
Fax
2083678288
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MERIDIAN, ID

Name Credential NPI
JUDY LYNN TROYER MPT 1619975968
WAYNE M MILLS P.T. 1821089061
DARANEE BERG PT, DPT 1649243015
MRS. HEIDI JANELLE ANTTONEN MSPT 1538136163
MRS. JENNIFER LYNN NEVALA MPT 1295702389
PAMELA A MARTIN PT ATC 1154380293
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.