Mir Physical Therapy

Organization Active NPI Physical Therapist · Lederach, PA

NPI 1780765883 · NPPES record last updated Jul 6, 2009

Key facts

NPI
1780765883
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
PT0006436L (PA)
Legal business name
MIR PHYSICAL THERAPY
Practice address
703 Harleysville PK
Lederach, PA 19450-0396
Phone
(215) 256-1991
Fax
(215) 256-1895
NPI assigned
Oct 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Richard L. Stiles Jr., PHYSICAL THERAPIST
Title
President
Phone
(215) 256-1991

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X PT0006436L PA Yes

Addresses

Primary practice location

703 Harleysville PK
Lederach, PA 19450-0396

Mailing address

PO Box 396
703 Harleysville Pike
Lederach, PA 19450-0396
Phone (215) 256-1991

Other providers in Lederach, PA

All providers in Lederach, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.