| Doctor Name: | MR. EDWARD KENLY STARTT |
| NPI Number: | 1700198207 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PTL-10393 |
| Business Practice Address: | 314 Franklin Ave Suite 501 Berlin, MD - 218111215 |
| Business Phone Number: | 4106410999 |
| Business Fax Number: | 4106419576 |
| Mailing Address: | Po Box 2682, 29745 Dustin Ave EASTON |
| State: | MD |
| Postal Code: | 216018950 |
| Phone Number: | 4432602660 |
| Fax Number: | 4432602754 |
| NPI Enumeration Date: | 07/13/2010 |
| NPI Last Update Date: | 07/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTL-10393 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |