Individual
COBY THRAILKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 E COOPER ST, GREEN RIDGE, MO 65332-1025
(660) 988-4902
Mailing address
104 E COOPER ST, GREEN RIDGE, MO 65332-1025
(660) 988-4902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019011918
MO
225200000X
Physical Therapy Assistant
CP022192A
IA
225200000X
Physical Therapy Assistant
CP042840A
GA
225200000X
Physical Therapy Assistant
CP044036A
OK
225200000X
Physical Therapy Assistant
PT20240095
NM
Other
Enumeration date
04/13/2023
Last updated
12/08/2025
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