IndividualActive
Alyssa Gardner, PTA
NPI 1841964145 · Physical Therapy Assistant · Prospect, KY
Provider details
- NPI number
- 1841964145
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 06006260A (IN)
Mailing address
453 State Road 60 W
Mitchell, IN 47446-5601
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2021-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.