IndividualActive
Amy Cooper, PTA
NPI 1104150481 · Physical Therapy Assistant · Hermitage, TN
Provider details
- NPI number
- 1104150481
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 870 (TN)
Mailing address
1619 Eagle Trace Dr
Mount Juliet, TN 37122-7428
Registry dates
- Enumerated
- 2009-09-20
- Last updated
- 2009-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.