Brandon Alan Coffman, PTA
Individual provider Active NPI Physical Therapy Assistant · Trenton, TN
NPI 1982168175 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1982168175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0000006117 (TN)
- Practice address
- 2036 US Highway 45 Byp S
Trenton, TN 38382-2941 - Phone
- (731) 855-4500
- NPI assigned
- Jan 22, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000006117 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0000006117 | TN | Yes |
Addresses
Primary practice location
2036 US Highway 45 Byp S
Trenton, TN 38382-2941
Mailing address
8200 Telecom Dr
Milan, TN 38358-3499
Phone (731) 487-4701
Other providers in Trenton, TN
- Cassondra Burks
- C.S. Patterson Training & Habilitation Center, Inc.
- Michael Campbell
- Charicem Ventures PLLC
- Christy H Cloud
- Matthew Paul Coffman
- Cheryl L Cole
- Kent Dwayne Coleman
- Coleman'S Pharmacy
- Jenna Rigby Copeland
All providers in Trenton, 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 Jan 22, 2019. 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.