National Provider Identifier

Kevin Goodhue

Kevin Goodhue is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 886-4377.

NPI 1033077714Buffalo, NYPhysical Therapist

Profile Overview

NPI
1033077714
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 12, 2026
Last Updated
January 12, 2026

Practice Location

  • 64 Hager St
  • Buffalo, NY 14208-1327

Phone: (716) 886-4377

Mailing Address

  • 47 Raintree Is
  • Tonawanda, NY 14150-9508

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1033077714
Entity Type
Individual
Last Name
Goodhue
First Name
Kevin
Mailing Street Address
47 Raintree Is
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-9508
Mailing Country
US
Practice Street Address
64 Hager St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14208-1327
Practice Country
US
Practice Phone
(716) 886-4377
Enumeration Date
January 12, 2026
Last Updated
January 12, 2026
Sex
Male
Sole Proprietor
No
Certification Date
January 12, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)