Tucker Willi Cole, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Madisonville, TN

NPI

1730545823

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

6126 (TN)

Sex

Male

Sole proprietor

No

Enumerated

2016-01-06

Last updated

2016-01-06