Tonya Potter
Individual provider Active NPI Physical Therapy Assistant · Millstone, KY
NPI 1447642913 · NPPES record last updated Feb 20, 2015
Key facts
- NPI
- 1447642913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A02861 (KY)
- Practice address
- 1967 Millstone Rd
Millstone, KY 41838-9091 - Phone
- (606) 335-9301
- NPI assigned
- Feb 20, 2015
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A02861 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A02861 | KY | Yes |
Addresses
Primary practice location
1967 Millstone Rd
Millstone, KY 41838-9091
Mailing address
1967 Millstone Rd
Millstone, KY 41838-9091
Phone (606) 335-9301
Other providers in Millstone, KY
All providers in Millstone, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.