Provider Demographics
NPI:1265682090
Name:LYBARGER, TIMOTHY SHAWLER (DPT)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:SHAWLER
Last Name:LYBARGER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2293 E COMMON ST APT 83
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3184
Mailing Address - Country:US
Mailing Address - Phone:830-832-7815
Mailing Address - Fax:
Practice Address - Street 1:1324 COMMON ST STE 307
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3566
Practice Address - Country:US
Practice Address - Phone:830-625-7310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1184029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist