Provider Demographics
NPI:1649524158
Name:MCGEARY, KAITLIN MARY (DPT)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:MARY
Last Name:MCGEARY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:MARY
Other - Last Name:MILLIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2805 OLD POST RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3675
Mailing Address - Country:US
Mailing Address - Phone:717-635-2030
Mailing Address - Fax:717-635-2029
Practice Address - Street 1:2805 OLD POST RD
Practice Address - Street 2:SUITE 110
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3675
Practice Address - Country:US
Practice Address - Phone:717-635-2030
Practice Address - Fax:717-635-2029
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist