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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALYSSA GARDNER, PTA

Active Sole Proprietor

ALYSSA GARDNER, PTA is a Occupational Therapist healthcare provider located in PROSPECT, Kentucky. NPI 1841964145 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PROSPECT, KY

Registration Details

NPI Number
1841964145
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2021 (5.0078942640946 yrs)
Last Updated
Aug 2, 2021
Licenses
06006260A (IN)
A04234 (KY)
Sole Proprietor
Yes

Practice Information

Address
6301 BASS RD
PROSPECT, KY, 400599384
Browse KY providers · Browse ZIP 40059
Phone
8125081660
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in PROSPECT, KY

Name Credential NPI
MRS. ANN BURKHEAD PTA 1114185097
MRS. ALLISON PARK PTA 1194453217
RODOLFO TOM DORANTES 1740056324
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.