Individual provider · Type 1 NPI

Robert John Revolt, PTA

Physical Therapy Assistant · Louisville, KY

NPI number 1265703243 Active

Practice location

2200 Stony Brook Dr
Louisville, KY 40220-4016

Call (502) 495-6240 Map

Mailing address

11204 Coventry Greens Dr
Louisville, KY 40241-3409

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA00571 (KY)

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 1265703243

Robert John Revolt, PTA's National Provider Identifier is 1265703243, issued on Jan 23, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Louisville, KY. The record was last updated on Jan 23, 2012.