Provider Demographics
NPI:1003357260
Name:DAVIS, BOYD III (PT)
Entity Type:Individual
Prefix:
First Name:BOYD
Middle Name:
Last Name:DAVIS
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 WINTERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6838
Mailing Address - Country:US
Mailing Address - Phone:520-419-9808
Mailing Address - Fax:
Practice Address - Street 1:724 WINTERBERRY DR
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6838
Practice Address - Country:US
Practice Address - Phone:520-419-9808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT015491225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist