Provider Demographics
NPI:1659017911
Name:HOWARD, KYLIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KYLIE
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KYLIE
Other - Middle Name:
Other - Last Name:STUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1813 INDIAN CRK
Mailing Address - Street 2:
Mailing Address - City:ELDRED
Mailing Address - State:PA
Mailing Address - Zip Code:16731-3931
Mailing Address - Country:US
Mailing Address - Phone:814-598-4601
Mailing Address - Fax:
Practice Address - Street 1:1001 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-3267
Practice Address - Country:US
Practice Address - Phone:814-596-0016
Practice Address - Fax:814-596-0024
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist