Boyd, Derrick

Boyd, Derrick is an sole proprietor health care provider with primary practice located at 1373 Dadrian Professional Park , Godfrey IL 62035-1767. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Boyd, Derrick can be contacted via phone (706) 261-8467.

Contact Information

Primary practice address
1373 Dadrian Professional Park Godfrey IL 62035-1767
Phone: (706) 261-8467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.008973 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2020030538 Missouri

Profile Details

NPI number 1376153874
LBN Legal business name Boyd, Derrick
Credentials PTA, BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2020
Last updated Nov 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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