Individual
MR. KEVIN MICHAEL SMALL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
45 FOREST CV, FOREST COVE MANOR, JACKSON, TN 38301-4366
(731) 424-4200
(731) 424-4203
Mailing address
1026 MOORE ST, MILAN, TN 38358-2608
(731) 723-5617
(731) 660-5972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2238
TN
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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