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

Individual provider Physical Therapy Assistant · NPI 1720558646

Travis Petty is a Physical Therapy Assistant in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2018.

Licensed in
KY
In the registry since
2018
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Practice location Address checks out

1800 Bluegrass Ave
Louisville, KY 40215-1130
Phone: (502) 361-2301
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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 · Licence A03896 (KY)

Record details

NPI number1720558646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESDecember 4, 2018

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