IndividualActive
Paul Ptak, SA-C, RSA
NPI 1730500760 · Surgical Assistant · Cookeville, TN
Provider details
- NPI number
- 1730500760
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- SA-C, RSA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5300 Cherry Creek Rd
Cookeville, TN 38506-7007
Phone: (847) 494-1940
Approximate (ZIP-level) locationGet directions
Mailing address
5300 Cherry Creek Rd
Cookeville, TN 38506-7007
Registry dates
- Enumerated
- 2013-12-17
- Last updated
- 2021-10-22
- Certified
- 2021-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.