TIMOTHY K MASSENGILL Physical Therapist License verification

TIMOTHY K MASSENGILL

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002132

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

MASSENGILL

Business Name

TIMOTHY K MASSENGILL

Original Issue Date

03/07/1995

Effective Date

09/26/2025

Expiration Date

09/30/2027

City

NEOGA

State

Zip

62447

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

09/26/2025

Case Number

2009011386

Action

Fine

Discipline Start Date

08/25/2010

Discipline Reason

for misrepresenting information to the Department concerning compliance with minimum continuing education requirements when applying for renewal of his license.