Rob Cole, PTA
Individual provider Active NPI Physical Therapy Assistant · Humboldt, TN
NPI 1720135007 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720135007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3628 (TN)
- Practice address
- 2031 Avondale St
Humboldt, TN 38343-1810 - Phone
- (731) 784-3655
- NPI assigned
- Jan 5, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3628 | TN | Yes |
Addresses
Primary practice location
2031 Avondale St
Humboldt, TN 38343-1810
Mailing address
31 Glen Dillon Dr
Jackson, TN 38305-7837
Other providers in Humboldt, TN
- Dafnis Carolina Carranza
- Ernesto Chioco
- City Drug Co of Humboldt
- City Drug Company
- CLC of Humboldt, LLC
- Jana M Combs
- Conventional and Alternative Therapy Health Services PLLC
- Enquinetta Crawford
- Sonya Deakins
- Deborah Louise Graves
All providers in Humboldt, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.