Jeremy R. Coakley PTA

NPI 1003108366 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1003108366
Gender Male
Enumeration Date 05/05/2011
Last Updated 05/05/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
515 GREENE DR
GREENVILLE KY, 42345-1409, US
Phone (270) 338-5400
Fax
Business Location
515 GREENE DR
GREENVILLE KY, 42345-1409, US
Phone (270) 338-5400
Fax
Toxanomy
Taxonomy Code 225200000X
License State Kentucky
License Number A02641
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According to our database, Mr. Jeremy R. Coakley PTA NPI is 1003108366, taxonomy code is 225200000X and license number is A02641, license state is located at Kentucky. Jeremy R. Coakley PTA physically located at 515 Greene Dr, Greenville KY, 42345-1409. NPI Number Jeremy R. Coakley PTA has the Individual type.

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1003108366 NPI number is provided on an as is basis without warranty of any kind. 1003108366 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy R. Coakley PTA are for informational purposes only.