Healthcare Provider Details

I. General information

NPI: 1003874884
Provider Name (Legal Business Name): KYLE W BARNETT PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

868 N US ROUTE 15
DILLSBURG PA
17019-1617
US

IV. Provider business mailing address

4750 LINDLE RD STE 100
HARRISBURG PA
17111-2428
US

V. Phone/Fax

Practice location:
  • Phone: 717-973-5813
  • Fax: 717-715-1064
Mailing address:
  • Phone: 717-803-3342
  • Fax: 717-974-8743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017511
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: