Provider Demographics
NPI:1932994266
Name:HUMPHRIES, DARCHELLE R (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:DARCHELLE
Middle Name:R
Last Name:HUMPHRIES
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 CIDERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6831
Mailing Address - Country:US
Mailing Address - Phone:337-263-0074
Mailing Address - Fax:
Practice Address - Street 1:615 CIDERBERRY DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6831
Practice Address - Country:US
Practice Address - Phone:337-263-0074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0265082251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics