IndividualActive
Breanna Spaw, PTA
NPI 1073369393 · Physical Therapy Assistant · Campbellsville, KY
Provider details
- NPI number
- 1073369393
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A03528 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
104 Nancy Cox Dr
Campbellsville, KY 42718-6834
Phone: (270) 465-8508
Approximate (ZIP-level) locationGet directions
Mailing address
104 Nancy Cox Dr
Campbellsville, KY 42718-6834
Registry dates
- Enumerated
- 2024-04-26
- Last updated
- 2024-04-26
- Certified
- 2024-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.