Provider Demographics
NPI:1619084795
Name:DUNLAVEY, KYLA L (PT, MPT, OCS)
Entity Type:Individual
Prefix:MS
First Name:KYLA
Middle Name:L
Last Name:DUNLAVEY
Suffix:
Gender:F
Credentials:PT, MPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 FAITH CIR
Mailing Address - Street 2:
Mailing Address - City:BOALSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16827-1598
Mailing Address - Country:US
Mailing Address - Phone:703-801-3432
Mailing Address - Fax:
Practice Address - Street 1:152 FAITH CIR
Practice Address - Street 2:
Practice Address - City:BOALSBURG
Practice Address - State:PA
Practice Address - Zip Code:16827-1598
Practice Address - Country:US
Practice Address - Phone:814-314-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011161L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist