Coleton Harrington, PTA

Individual provider Active NPI Physical Therapy Assistant · Cooper, TX

NPI 1245912666 · NPPES record last updated Aug 4, 2023

Key facts

NPI
1245912666
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2160246 (TX)
Practice address
110 FM 64
Cooper, TX 75432
Phone
(903) 395-2125
NPI assigned
Aug 4, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2160246TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2160246 TX Yes

Addresses

Primary practice location

110 FM 64
Cooper, TX 75432

Mailing address

51 NE 3Rd St
Cooper, TX 75432-1909
Phone (903) 348-7563

Other providers in Cooper, TX

All providers in Cooper, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.