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

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

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