Individual provider · Type 1 NPI

Kenneth Eugene Youngblood, PTA

Physical Therapy Assistant · Cochran, GA

NPI number 1023226933 Active

Practice location

136 West Dykes Street
Cochran, GA 31014

Fax (229) 868-2175

Mailing address

174 South 8th Street
Cochran, GA 31014

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1457 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023226933

Kenneth Eugene Youngblood, PTA's National Provider Identifier is 1023226933, issued on May 21, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cochran, GA. The record was last updated on Jul 8, 2007.