IndividualActive
Allison Park, PTA
NPI 1194453217 · Physical Therapy Assistant · Prospect, KY
Provider details
- NPI number
- 1194453217
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A04174 (KY)
Mailing address
9018 Brandywyne Dr
Louisville, KY 40291-1361
Registry dates
- Enumerated
- 2022-08-09
- Last updated
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.