Timothy E Waddell, PTA

NPI #1083852636 in Paducah, Kentucky

Provider Information

NPI Number: 1083852636
Entity Type: Individual
Name: Timothy E Waddell, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 4, 2009
Last Updated: Feb 4, 2009

Practice Location

Address: 5050B VILLAGE SQUARE DR
City: Paducah
State: Kentucky
ZIP Code: 42001-9499
Phone: (270) 443-0681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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