Provider Demographics
NPI:1174887798
Name:DRAYER PHYSICAL THERAPY INSTITUTE, LLC
Entity type:Organization
Organization Name:DRAYER PHYSICAL THERAPY INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DRAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-220-2100
Mailing Address - Street 1:9613 LINCOLN HWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-3748
Mailing Address - Country:US
Mailing Address - Phone:814-623-1042
Mailing Address - Fax:814-623-1044
Practice Address - Street 1:9613 LINCOLN HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-3748
Practice Address - Country:US
Practice Address - Phone:814-623-1042
Practice Address - Fax:814-623-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty