Kyle Horton, PT, DPT

Individual provider Active NPI Physical Therapist · Waynesboro, TN

NPI 1831646785 · NPPES record last updated Sep 8, 2016

Key facts

NPI
1831646785
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
8735 (TN)
Practice address
308 Highway 64 E
Waynesboro, TN 38485-3018
Phone
(931) 722-2063
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8735TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Past Accepting new patients
Total Therapy Center, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8735 TN Yes

Addresses

Primary practice location

308 Highway 64 E
Waynesboro, TN 38485-3018

Mailing address

103 JV Mangubat Dr
Waynesboro, TN 38485-2440

Other providers in Waynesboro, TN

All providers in Waynesboro, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.