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

Individual provider Physical Therapy Assistant · NPI 1790121697

Shannon Dale Coffman, PTA is a Physical Therapy Assistant in Madisonville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2013
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

808 Brown Rd
Madisonville, KY 42431-2212
Phone: (270) 871-3122
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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 A01656 (KY)

Record details

NPI number1790121697
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 17, 2013
Last updated in NPPESMay 17, 2013

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