Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bronsun Bouyasith Phengdy, PTA

Individual provider Physical Therapy Assistant · NPI 1417685397

Bronsun Bouyasith Phengdy, PTA is a Physical Therapy Assistant in Avondale, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

10450 W McDowell Rd
Avondale, AZ 85392-4901
Phone: (623) 846-7614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1417685397
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

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