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.

NPI 1003285313Macedon, NYPhysical Therapist

Source: public NPPES record, last updated September 16, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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Biography

The NPPES record for Alex Houghtalen lists Physical Therapist as the primary taxonomy and Macedon, NY as the practice location.

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
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
039069 (NY, Nys Licence)