NPI 1003108366

Jeremy R. Coakley, PTA

Practitioner Physical Therapy Assistant Greenville, KY

Practice location

Address: 515 Greene Dr, Greenville, KY 42345-1409
Phone: (270) 338-5400

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A02641 (KY)

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Registry record

NPI: 1003108366
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2011
Record last updated: 5 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.