Provider Demographics
NPI:1568144475
Name:CARHART-DAVIS, DAYLE (DPT, PT)
Entity Type:Individual
Prefix:MRS
First Name:DAYLE
Middle Name:
Last Name:CARHART-DAVIS
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2568 WESTERN AVE APT 7-04
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009-3823
Mailing Address - Country:US
Mailing Address - Phone:518-210-0062
Mailing Address - Fax:
Practice Address - Street 1:1804 2ND AVE # 2818
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-2818
Practice Address - Country:US
Practice Address - Phone:518-833-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist