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

Kevin Wilson Small, PTA

Individual provider Physical Therapy Assistant · NPI 1891161139

Kevin Wilson Small, PTA is a Physical Therapy Assistant in Laconia, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2015.

Licensed in
NH
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

175 Blueberry Ln
Laconia, NH 03246-2918
Phone: (603) 524-3340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1210 (NH)

Record details

NPI number1891161139
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 20, 2015

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