Provider Demographics
NPI:1740466721
Name:BOYLE, KYNDALL L (PT, PHD, OCS, PRC)
Entity type:Individual
Prefix:DR
First Name:KYNDALL
Middle Name:L
Last Name:BOYLE
Suffix:
Gender:F
Credentials:PT, PHD, OCS, PRC
Other - Prefix:
Other - First Name:KYNDY
Other - Middle Name:L
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:719-A GREENWAY RD #29
Mailing Address - Street 2:SUITES 207 & 209
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607
Mailing Address - Country:US
Mailing Address - Phone:828-459-6397
Mailing Address - Fax:828-391-9309
Practice Address - Street 1:719-A GREENWAY RD #29
Practice Address - Street 2:SUITES 207 & 209
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607
Practice Address - Country:US
Practice Address - Phone:828-459-6397
Practice Address - Fax:828-391-9309
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50052251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports