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

Coy Daniel Kidd

Individual provider Physical Therapy Assistant · NPI 1104390996

Coy Daniel Kidd is a Physical Therapy Assistant in Pleasant Hill, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019

Practice location Address checks out

55 W Lake Rd
Pleasant Hill, TN 38578-3002
Phone: (931) 277-3518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6840 (TN)

Record details

NPI number1104390996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJanuary 15, 2019

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