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

Timothy E Waddell, PTA

Individual provider Physical Therapy Assistant · NPI 1083852636

Timothy E Waddell, PTA is a Physical Therapy Assistant in Paducah, Kentucky. Licensed in Kentucky. Registered with an NPI since 2009.

Licensed in
KY
In the registry since
2009
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

5050B Village Square Dr
Paducah, KY 42001-9499
Phone: (270) 443-0681
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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 A02100 (KY)

Record details

NPI number1083852636
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 4, 2009
Last updated in NPPESFebruary 4, 2009
Mailing address5050b Village Square Dr, Paducah, KY 42001-9499

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