Individual provider · Type 1 NPI

Derek Fairrow, PTA

Physical Therapy Assistant · Madisonville, KY

NPI number 1760727929 Active

Practice location

1500 Pride Ave
Madisonville, KY 42431-9157

Call (270) 821-1813 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA02649 (KY)

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 1760727929

Derek Fairrow, PTA's National Provider Identifier is 1760727929, issued on Nov 29, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Madisonville, KY. The record was last updated on Nov 29, 2012.