JEREMY R. COAKLEY

GREENVILLE, KY
NPI1003108366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A02641)
Enumeration Date2011-05-05
Last Update Date2011-05-05
Business Address
Mr. JEREMY R. COAKLEY PTA
515 GREENE DR
GREENVILLE, KY 42345-1409
Phone number: 270-338-5400
Mailing Address
Mr. JEREMY R. COAKLEY PTA
515 GREENE DR
GREENVILLE, KY 42345-1409
Phone number: 270-338-5400