IndividualActive
Audrey Galloway, PTA
NPI 1174090963 · Physical Therapy Assistant · Phoenix, AZ
Provider details
- NPI number
- 1174090963
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 013809 (AZ)
Practice location
1300 N 12th St Ste 506
Phoenix, AZ 85006-2849
Phone: (602) 253-6623
Fax: (602) 252-1723
Mailing address
1300 N 12th St Ste 506
Phoenix, AZ 85006-2849
Registry dates
- Enumerated
- 2018-10-30
- Last updated
- 2018-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.