Provider Demographics
NPI:1093919623
Name:OFFNER, NANCY D (MSPT, CLT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:D
Last Name:OFFNER
Suffix:
Gender:F
Credentials:MSPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 HARLEYSVILLE PIKE STE 4
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1028
Mailing Address - Country:US
Mailing Address - Phone:267-389-9218
Mailing Address - Fax:
Practice Address - Street 1:840 HARLEYSVILLE PIKE STE 4
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1028
Practice Address - Country:US
Practice Address - Phone:267-389-9218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007601L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA113000Medicare PIN