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

Mr. Kevin Michael Small Sr., PTA

Individual provider Physical Therapy Assistant · NPI 1487778940

Mr. Kevin Michael Small Sr., PTA is a Physical Therapy Assistant in Jackson, Tennessee. 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

45 Forest Cv Forest Cove Mnr
Jackson, TN 38301-4366
Phone: (731) 424-4200
Fax: (731) 424-4203
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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 PTA2238 (TN)

Record details

NPI number1487778940
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007

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