Individual provider · Type 1 NPI

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

Physical Therapy Assistant · Jackson, TN

NPI number 1487778940 Active

Practice location

45 Forest Cv, Forest Cove Manor
Jackson, TN 38301-4366

Call (731) 424-4200 Map

Fax (731) 424-4203

Mailing address

1026 Moore St
Milan, TN 38358-2608

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA2238 (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 1487778940

Kevin Michael Small Sr., P.T.A.'s National Provider Identifier is 1487778940, issued on Mar 19, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, TN. The record was last updated on Jul 8, 2007.