Olivia Gayle King, PTA
Physical Therapy Assistant · Rolling Fork, MS
Practice location
47 S Fourth StRolling Fork, MS 39159-5146
- Phone
- (662) 873-6051
- Fax
- (601) 607-1379
NPI record
- NPI
- 1124536487
- Entity type
- Individual (Type 1)
- Enumeration date
- January 19, 2018
- Last updated
- November 15, 2023
- Certified
- November 15, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
8560 | TN |
| Physical Therapy Assistant | 225200000X |
PTA6204 | MS |
Mailing address
711 Avignon DrRidgeland, MS 39157-5120
- Phone
- (601) 605-6777
About Olivia King
Olivia Gayle King, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 47 S Fourth St, Rolling Fork, MS 39159-5146. The NPI number 1124536487 was assigned on January 19, 2018 and the record was last updated on November 15, 2023.
Olivia King lists 2 licenses in the registry: #8560 (TN) for Physical Therapy Assistant; #PTA6204 (MS) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Olivia Gayle King, PTA?
The NPI number is 1124536487.
What is the phone number of Olivia King?
The phone number listed for the practice location is (662) 873-6051.
Where is Olivia King located?
47 S Fourth St, Rolling Fork, MS 39159-5146.
What is the taxonomy code for Olivia King?
The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.