Search › Illinois › 225200000X
Derrick Boyd, PTA, BS
NPI 1376153874 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1373 Dadrian Professional Park
Godfrey, IL 62035 - Phone
- (706) 261-8467
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois