Provider Demographics
NPI:1871092916
Name:CAMPBELL, CONNER JAMES (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CONNER
Middle Name:JAMES
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 VARTAN WAY STE 270
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9720
Mailing Address - Country:US
Mailing Address - Phone:717-412-0166
Mailing Address - Fax:
Practice Address - Street 1:2300 VARTAN WAY STE 270
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9720
Practice Address - Country:US
Practice Address - Phone:717-412-0166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT026679225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist