Individual provider · Type 1 NPI

Micah McColloch, PTA

Physical Therapy Assistant · Cookeville, TN

NPI number 1285289249 Active

Practice location

815 S Walnut Ave
Cookeville, TN 38501-5956

Call (931) 528-5516 Map

Mailing address

2539 Sparkmantown Rd
Doyle, TN 38559-3235

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7124 (TN)

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 1285289249

Micah McColloch, PTA's National Provider Identifier is 1285289249, issued on Aug 7, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cookeville, TN. The record was last updated on Aug 7, 2019.