Individual provider · Type 1 NPI

Ethan Worth Lyle, PT, DPT

Pediatric Physical Therapist · Williamsburg, VA

NPI number 1861298549 Active

Practice location

457 Mclaws Cir Ste A
Williamsburg, VA 23185-5645

Fax (847) 886-4172

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2305216451 (VA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

6 other providers at this address

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About NPI 1861298549

Ethan Worth Lyle, PT, DPT's National Provider Identifier is 1861298549, issued on Feb 22, 2025. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Williamsburg, VA. The record was last updated on Feb 22, 2025.