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

Philip Ryan Daetwyler, PSS

Individual provider Peer Specialist · NPI 1669307468

Philip Ryan Daetwyler, PSS is a Peer Specialist in Louisa, Kentucky. Licensed in Kentucky. Registered with an NPI since 2026.

Licensed in
KY
In the registry since
2026

Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1330
Phone: (606) 638-0938
Fax: (859) 813-5394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KY)

Record details

NPI number1669307468
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

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