Provider Demographics
NPI:1932689957
Name:HAINES, KARILYN KITZINGER (PT, DPT)
Entity type:Individual
Prefix:
First Name:KARILYN
Middle Name:KITZINGER
Last Name:HAINES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KARILYN
Other - Middle Name:MARIE
Other - Last Name:KITZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:580 REED RD STE 3
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3655
Mailing Address - Country:US
Mailing Address - Phone:610-389-1847
Mailing Address - Fax:
Practice Address - Street 1:580 REED RD STE 3
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3655
Practice Address - Country:US
Practice Address - Phone:610-356-6211
Practice Address - Fax:610-356-1429
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027246225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist