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

Micah McColloch, PTA

Individual provider Physical Therapy Assistant · NPI 1285289249

Micah McColloch, PTA is a Physical Therapy Assistant in Cookeville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
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

815 S Walnut Ave
Cookeville, TN 38501-5956
Phone: (931) 528-5516
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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 7124 (TN)

Record details

NPI number1285289249
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 7, 2019
Last updated in NPPESAugust 7, 2019
Mailing address2539 Sparkmantown Rd, Doyle, TN 38559-3235

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