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

Susan Bolden

Individual provider Physical Therapy Assistant · NPI 1154530541

Susan Bolden is a Physical Therapy Assistant in McComb, Mississippi. Practices as a sole proprietor. Licensed in Arkansas and Texas.

Licensed in
AR, TX
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

206 Maryland Ave
McComb, MS 39648-3926
Phone: (601) 250-4815
Fax: (601) 250-6859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2017158 (TX)
Physical Therapy Assistant Taxonomy 225200000X · Licence 999 (AR)

Record details

NPI number1154530541
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address2401 Linden Ave, Texarkana, AR 71854-3859

Other providers in McComb