NPI 1023226933

Kenneth Eugene Youngblood, PTA

Practitioner Physical Therapy Assistant Cochran, GA

Practice location

Address: 136 West Dykes Street, Cochran, GA 31014
Phone: (478) 934-8801
Fax: (229) 868-2175
Mailing address: 174 South 8th Street, Cochran, GA 31014

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1457 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1023226933
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2007
Record last updated: 8 Jul 2007

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.