Provider Demographics
NPI:1548550668
Name:MOODY, ARYNNE RACHAEL (DPT)
Entity type:Individual
Prefix:
First Name:ARYNNE
Middle Name:RACHAEL
Last Name:MOODY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2154 PALOMINO RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-3669
Mailing Address - Country:US
Mailing Address - Phone:717-292-5626
Mailing Address - Fax:
Practice Address - Street 1:2154 PALOMINO RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-3669
Practice Address - Country:US
Practice Address - Phone:717-292-5626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist