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

Mrs. Deborah S Kottak, PTA

Individual provider Physical Therapist · NPI 1467061713

Mrs. Deborah S Kottak, PTA is a Physical Therapist in Crestwood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020
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

5502 Clover Ridge Dr
Crestwood, KY 40014-9219
Phone: (502) 210-3414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence A02402 (KY)

Record details

NPI number1467061713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address5502 Clover Ridge Dr, Crestwood, KY 40014-9219

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