Provider Demographics
NPI:1225367501
Name:BENTLEY, DARCY ERIN (PT)
Entity Type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:ERIN
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 562
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-0562
Mailing Address - Country:US
Mailing Address - Phone:512-858-5191
Mailing Address - Fax:512-858-5194
Practice Address - Street 1:400 W HIGHWAY 290
Practice Address - Street 2:SUITE B104
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4379
Practice Address - Country:US
Practice Address - Phone:512-858-5191
Practice Address - Fax:512-858-5194
Is Sole Proprietor?:No
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1188711225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist