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

Kennedy Lake Cooper, PTA

Individual provider Physical Therapy Assistant · NPI 1588343941

Kennedy Lake Cooper, PTA is a Physical Therapy Assistant in Melbourne, Arkansas. Licensed in Arkansas. Registered with an NPI since 2023.

Licensed in
AR
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

31 School Dr
Melbourne, AR 72556-8620
Phone: (870) 916-2269
Fax: (870) 277-0896
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 4841 (AR)

Record details

NPI number1588343941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

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