Individual provider · Type 1 NPI

Derek Chase Thompson, PTA

Physical Therapy Assistant · Booneville, KY

NPI number 1962717017 Active

Practice location

200 Mulbery Street Suite C
Booneville, KY 41313

Mailing address

510 Regional Airport Rd
Chavies, KY 41727-8646

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA02681 (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 …

About NPI 1962717017

Derek Chase Thompson, PTA's National Provider Identifier is 1962717017, issued on Aug 13, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Booneville, KY. The record was last updated on Aug 13, 2010.