IndividualActive
Jeremy Coakley, PTA
NPI 1003108366 · Physical Therapy Assistant · Greenville, KY
Provider details
- NPI number
- 1003108366
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- A02641 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
515 Greene Dr
Greenville, KY 42345-1409
Phone: (270) 338-5400
Approximate (ZIP-level) locationGet directions
Mailing address
515 Greene Dr
Greenville, KY 42345-1409
Registry dates
- Enumerated
- 2011-05-05
- Last updated
- 2011-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.