Provider Demographics
NPI:1205815099
Name:LATCHFORD, LYNNETTE KIMBERLING (DPT)
Entity Type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:KIMBERLING
Last Name:LATCHFORD
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 1:295 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1271
Mailing Address - Country:US
Mailing Address - Phone:814-643-4151
Mailing Address - Fax:814-643-6063
Practice Address - Street 1:295 S 4TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1271
Practice Address - Country:US
Practice Address - Phone:814-643-4151
Practice Address - Fax:814-643-6063
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-015991-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist