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Jeremy R. Coakley, PTA

Physical Therapy Assistant in Greenville, KY. Individual provider (NPI-1).

NPI number1003108366
StatusActive
Last updated in NPPESMay 5, 2011

Details

NPI
1003108366
Entity type
Individual (NPI-1)
Name
Mr. Jeremy R. Coakley
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2011
Last updated
May 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA02641KYYes

Practice location

515 Greene Dr
Greenville, KY 42345-1409

Phone 270-338-5400

Mailing address

515 Greene Dr
Greenville, KY 42345-1409

Phone 270-338-5400

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Other Physical Therapy Assistant providers in Greenville, KY

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