Provider Demographics
NPI:1831339480
Name:DYE, BRITTNEY J (DPT)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:J
Last Name:DYE
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 1:1288 EASTERBROOK ST
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-2225
Mailing Address - Country:US
Mailing Address - Phone:432-287-0422
Mailing Address - Fax:
Practice Address - Street 1:1288 EASTERBROOK ST
Practice Address - Street 2:
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772-2225
Practice Address - Country:US
Practice Address - Phone:432-287-0422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3566225100000X
OK4106225100000X
TX1198061225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist