Autumn Bland, PTA
Individual provider Active NPI Physical Therapy Assistant · Bowling Green, KY
NPI 1881189413 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1881189413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 2365 Nashville Rd
Bowling Green, KY 42101-4144 - Phone
- (270) 842-1641
- NPI assigned
- Jun 26, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
2365 Nashville Rd
Bowling Green, KY 42101-4144
Mailing address
2502 Longbranch Rd
Seymour, TN 37865-5437
Phone (865) 228-7934
Other providers in Bowling Green, KY
- Michelle R Black
- Logan Blackmon
- Cassandra Collette Blackwell
- Jamie Blair
- Kevin R Blalock
- Shannon G Blandford
- Alyzea Blankenship
- Kristin Marie Blankenship
- Maire M Blankenship
- Kendal Lashea Bledsoe
All providers in Bowling Green, 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 Jun 26, 2018. 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.