Provider Demographics
NPI:1215346705
Name:HUYLER, ROBERT (DPT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:HUYLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 HARTFORD TPKE
Mailing Address - Street 2:SUITE U
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4852
Mailing Address - Country:US
Mailing Address - Phone:860-979-1611
Mailing Address - Fax:203-866-3014
Practice Address - Street 1:12 MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-3339
Practice Address - Country:US
Practice Address - Phone:860-872-7500
Practice Address - Fax:860-872-7501
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist