Provider Demographics
NPI:1790746618
Name:MCDEVITT, HAYDEN SCOTT (DPT)
Entity Type:Individual
Prefix:DR
First Name:HAYDEN
Middle Name:SCOTT
Last Name:MCDEVITT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 HIGHLANDS DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543
Mailing Address - Country:US
Mailing Address - Phone:717-625-2228
Mailing Address - Fax:717-625-0959
Practice Address - Street 1:100 HIGHLANDS DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543
Practice Address - Country:US
Practice Address - Phone:717-625-2228
Practice Address - Fax:717-625-0959
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT017556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0936955PZNMedicare ID - Type Unspecified