Provider Demographics
NPI:1093601072
Name:HARDERT, DELANEY GRACE (DPT)
Entity type:Individual
Prefix:DR
First Name:DELANEY
Middle Name:GRACE
Last Name:HARDERT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6069 BOXELDER DR
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-7591
Mailing Address - Country:US
Mailing Address - Phone:937-750-4218
Mailing Address - Fax:
Practice Address - Street 1:1840 TOWNE PARK DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-8365
Practice Address - Country:US
Practice Address - Phone:937-552-2487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT021728225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist