Derek Merriman in Ridgeland - Physical Therapy Assistant

Derek Merriman - NPI 1619134459

Derek Merriman is a Physical Therapy Assistant in Ridgeland, Mississippi. Derek Merriman practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Derek Merriman is 1619134459. The last update date is 2008-05-20.

Derek Merriman's current location address is 711 Avignon Dr, Ridgeland, Mississippi. You can contact this provider via phone number 6016056777 and fax number 6016058869. The mailing address for Derek Merriman is 711 Avignon Dr, Ridgeland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek Merriman
Address 711 Avignon Dr, Ridgeland, Mississippi
Phone Number 6016056777
Fax Number 6016058869
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1619134459
Provider Enumeration Date 2008-05-20
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 711 Avignon Dr
City Ridgeland
State Mississippi (MS)
Post Code 391575120
Phone Number 6016056777
Fax Number 6016058869

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA3824
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Derek Merriman

What is the unique 10-digit identification code assigned to Derek Merriman by the Centers for Medicare & Medicaid Services?

The Derek Merriman has been issued the NPI (National Provider Identifier) 1619134459, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Derek Merriman?

The Derek Merriman is physically situated at 711 Avignon Dr, in the city of Ridgeland, state of MS, with the postal code 391575120.

What is Derek Merriman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Derek Merriman's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1619134459 to Derek Merriman?

The Centers for Medicare & Medicaid Services assigned the 1619134459 to Derek Merriman on 2008-05-20.

When was the information pertaining to Derek Merriman most recently updated or revised?

The details related to Derek Merriman, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-20.

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