Provider Demographics
NPI:1649238874
Name:BOYD, DONNA KAY (ATC / LAT)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:KAY
Last Name:BOYD
Suffix:
Gender:F
Credentials:ATC / LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 WESTVALE CIR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3951
Mailing Address - Country:US
Mailing Address - Phone:205-253-9803
Mailing Address - Fax:
Practice Address - Street 1:6030 WESTVALE CIR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3951
Practice Address - Country:US
Practice Address - Phone:205-253-9803
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer