Provider Demographics
NPI:1932914140
Name:BOYD, CALEB AARON (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CALEB
Middle Name:AARON
Last Name:BOYD
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 LEE HIGHWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24202-6026
Mailing Address - Country:US
Mailing Address - Phone:276-645-0311
Mailing Address - Fax:276-645-0302
Practice Address - Street 1:3130 LEE HIGHWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24202-6026
Practice Address - Country:US
Practice Address - Phone:276-645-0311
Practice Address - Fax:276-645-0302
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist