Provider Demographics
NPI:1265797567
Name:ARBUCKLE, DAVID JOSEPH (DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
Last Name:ARBUCKLE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 BLOOMFIELD ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3271
Mailing Address - Country:US
Mailing Address - Phone:814-269-2224
Mailing Address - Fax:814-269-4587
Practice Address - Street 1:409 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:PA
Practice Address - Zip Code:15954
Practice Address - Country:US
Practice Address - Phone:814-446-6368
Practice Address - Fax:814-446-6829
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022057225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist