Provider Demographics
NPI:1134213267
Name:JOYCE, KERRY DUFFY (MSPT)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:DUFFY
Last Name:JOYCE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1557
Mailing Address - Country:US
Mailing Address - Phone:570-586-4186
Mailing Address - Fax:570-587-1058
Practice Address - Street 1:539 S STATE ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1557
Practice Address - Country:US
Practice Address - Phone:570-586-4186
Practice Address - Fax:570-587-1058
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015342225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist