Individual provider · Type 1 NPI

Carson Caudill, PTA

Physical Therapy Assistant · Fort Campbell, KY

NPI number 1659408755 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8102 Map

Mailing address

509 Double Branch Rd
Dickson, TN 37055-3800

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA3511 (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 1659408755

Carson Caudill, PTA's National Provider Identifier is 1659408755, issued on Feb 27, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Campbell, KY. The record was last updated on Nov 3, 2025.