Individual provider · Type 1 NPI

Shannon Dale Coffman, PTA

Physical Therapy Assistant · Madisonville, KY

NPI number 1790121697 Active

Practice location

808 Brown Rd
Madisonville, KY 42431-2212

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA01656 (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 1790121697

Shannon Dale Coffman, PTA's National Provider Identifier is 1790121697, issued on May 17, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Madisonville, KY. The record was last updated on May 17, 2013.