Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Boss, DPT, ATC

Individual provider Physical Therapist · NPI 1386078756

Miranda Boss, DPT, ATC is a Physical Therapist in Kewanee, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1258 W South St Ste 1
Kewanee, IL 61443-8300
Phone: (309) 852-2200
Fax: (866) 245-8064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-020103 (IL)

Record details

NPI number1386078756
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESOctober 29, 2013

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