National Provider Identifier
Alex Houghtalen
Alex Houghtalen is listed in the NPPES registry with a primary specialty of Physical Therapist in Macedon, NY and a listed phone number of (315) 986-4655.
Profile Overview
- NPI
- 1003285313
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 16, 2015
- Last Updated
- September 16, 2015
Practice Location
- 1900 Route 31
- Suite 12
- Macedon, NY 14502-8943
Phone: (315) 986-4655
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1003285313
- Entity Type
- Individual
- Last Name
- Houghtalen
- First Name
- Alex
- Mailing Street Address
- 1900 Route 31
- Mailing Address Line 2
- Suite 12
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-8943
- Mailing Country
- US
- Mailing Phone
- (315) 986-4655
- Practice Street Address
- 1900 Route 31
- Practice Address Line 2
- Suite 12
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-8943
- Practice Country
- US
- Practice Phone
- (315) 986-4655
- Enumeration Date
- September 16, 2015
- Last Updated
- September 16, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 039069 (NY, Nys Licence)