Kevin Michael Small Sr., P.T.A.

Physical Therapy Assistant · Jackson, TN

Individual Active NPI

NPI number 1487778940

Practice location

45 Forest CV
Forest Cove Manor
Jackson, TN 38301-4366
Phone
(731) 424-4200
Fax
(731) 424-4203

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NPI record

NPI
1487778940
Entity type
Individual (Type 1)
Enumeration date
March 19, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA2238 TN

Mailing address

1026 Moore St
Milan, TN 38358-2608
Phone
(731) 723-5617
Fax
(731) 660-5972

About Kevin Small

Kevin Michael Small Sr., P.T.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 45 Forest CV, Forest Cove Manor, Jackson, TN 38301-4366. The NPI number 1487778940 was assigned on March 19, 2007 and the record was last updated on July 8, 2007.

Kevin Small lists a license in the registry: #PTA2238 (TN) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Michael Small Sr., P.T.A.?

The NPI number is 1487778940.

What is the phone number of Kevin Small?

The phone number listed for the practice location is (731) 424-4200.

Where is Kevin Small located?

45 Forest CV, Forest Cove Manor, Jackson, TN 38301-4366.

What is the taxonomy code for Kevin Small?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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