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

MS. Miranda L Bourgeois, PT

Individual provider Physical Therapist · NPI 1043339849

MS. Miranda L Bourgeois, PT is a Physical Therapist in Columbia, Missouri. Licensed in Iowa and Missouri. Registered with an NPI since 2007.

Licensed in
IA, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3301 Berrywood Dr Ste 204
Columbia, MO 65201-6517
Phone: (573) 449-6082
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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 2001001888 (MO)
Physical Therapist Taxonomy 225100000X · Licence 3407 (IA)

Record details

NPI number1043339849
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESMarch 18, 2015
Mailing address3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517

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