Provider Demographics
NPI:1326200510
Name:CARTWRIGHT, CLAYTON R (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:CLAYTON
Middle Name:R
Last Name:CARTWRIGHT
Suffix:
Gender:M
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 BARTLETT CT
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-2177
Mailing Address - Country:US
Mailing Address - Phone:412-759-9826
Mailing Address - Fax:
Practice Address - Street 1:292 MAIN ST UNIT 292
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2416
Practice Address - Country:US
Practice Address - Phone:412-759-9826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-28
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019314225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist