Provider Demographics
NPI:1962436170
Name:SIEBERT, DARIN ALLEN (DPT)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:ALLEN
Last Name:SIEBERT
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 1:4300 STINE RD
Mailing Address - Street 2:STE 108
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313
Mailing Address - Country:US
Mailing Address - Phone:661-834-2300
Mailing Address - Fax:661-834-2635
Practice Address - Street 1:4300 STINE RD
Practice Address - Street 2:STE 108
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313
Practice Address - Country:US
Practice Address - Phone:661-834-2300
Practice Address - Fax:661-834-2635
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT24464225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OPT244640Medicare ID - Type Unspecified