IndividualActive
Brett Novak, PTA
NPI 1316297898 · Physical Therapy Assistant · Show Low, AZ
Provider details
- NPI number
- 1316297898
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 8918A (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone: (928) 537-6537
Approximate (ZIP-level) locationGet directions
Mailing address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Registry dates
- Enumerated
- 2012-09-12
- Last updated
- 2012-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.