Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coy Daniel Kidd

Individual provider Physical Therapy Assistant · NPI 1104390996

Coy Daniel Kidd is a Physical Therapy Assistant in Pleasant Hill, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019

Practice location Address checks out

55 W Lake Rd
Pleasant Hill, TN 38578-3002
Phone: (931) 277-3518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6840 (TN)

Record details

NPI number1104390996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJanuary 15, 2019
Mailing address1328 Pistol Ln, Oneida, TN 37841-6900

Other providers in Pleasant Hill