IndividualActive
Deborah Kottak, PTA
NPI 1467061713 · Physical Therapist · Crestwood, KY
Provider details
- NPI number
- 1467061713
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A02402 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5502 Clover Ridge Dr
Crestwood, KY 40014-9219
Phone: (502) 210-3414
Approximate (ZIP-level) locationGet directions
Mailing address
5502 Clover Ridge Dr
Crestwood, KY 40014-9219
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2020-07-23
- Certified
- 2020-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.