Individual provider · Type 1 NPI

Courtney Provencal, PTA

Physical Therapy Assistant · Louisville, KY

NPI number 1184963464 Active

Practice location

303 N Hurstbourne Pkwy, Suite 200
Louisville, KY 40222-5185

Call (502) 412-5847 Map

Mailing address

673 E 2nd St, Unit #1
Boston, MA 02127-1547

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X8708 (MA)
Physical Therapy Assistant Primary 225200000X00838 (RI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1184963464

Courtney Provencal, PTA's National Provider Identifier is 1184963464, issued on Feb 6, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Louisville, KY. The record was last updated on Feb 6, 2013.