=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740466721
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KYNDALL L BOYLE PT, PHD, OCS, PRC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/21/2008
-----------------------------------------------------
Last Update Date | 05/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 719-A GREENWAY RD #29 SUITES 207 & 209
-----------------------------------------------------
City | BOONE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-459-6397
-----------------------------------------------------
Fax | 828-391-9309
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 719-A GREENWAY RD #29 SUITES 207 & 209
-----------------------------------------------------
City | BOONE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-459-6397
-----------------------------------------------------
Fax | 828-391-9309
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | P5005
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------