Provider Demographics
NPI:1588802086
Name:BILES, KATHLEEN LYONS (PT)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:LYONS
Last Name:BILES
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 1:195 W LANCASTER AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1748
Mailing Address - Country:US
Mailing Address - Phone:610-695-9913
Mailing Address - Fax:
Practice Address - Street 1:195 W LANCASTER AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1748
Practice Address - Country:US
Practice Address - Phone:610-695-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT001563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist