SearchTennessee225200000X

Kevin Small, P.T.A

NPI 1487778940 · on the registry since 2007

Practice

Address
45 Forest Cv
Forest Cove Manor
Jackson, TN 38301
Phone
(731) 424-4200
Fax
(731) 424-4203
Organisation at this address
Ampharm, Inc.
Goodhope Bay Holdings Llc
Forest Cove Nursing And Rehab Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee