Provider Demographics
NPI:1134338627
Name:ROUTHIER, NANCY SMYRL (MPT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:SMYRL
Last Name:ROUTHIER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 N PENN ST
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-4807
Mailing Address - Country:US
Mailing Address - Phone:215-672-7919
Mailing Address - Fax:
Practice Address - Street 1:341 N PENN ST
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-4807
Practice Address - Country:US
Practice Address - Phone:215-672-7919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist