Healthcare Provider Details

I. General information

NPI: 1750299871
Provider Name (Legal Business Name): KENDALL HALSEY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W MILLPORT RD
LITITZ PA
17543-9323
US

IV. Provider business mailing address

534 WILLOW ST
REINHOLDS PA
17569-9687
US

V. Phone/Fax

Practice location:
  • Phone: 717-500-8608
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034484
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: