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

Mr. Carson Caudill, PTA

Individual provider Physical Therapy Assistant · NPI 1659408755

Mr. Carson Caudill, PTA is a Physical Therapy Assistant in Fort Campbell, Kentucky. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
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

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8102
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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 PTA3511 (TN)

Record details

NPI number1659408755
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address509 Double Branch Rd, Dickson, TN 37055-3800

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