National Provider Identifier
Brian Henry
Brian Henry is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Ithaca, NY and a listed phone number of (607) 255-7217.
Profile Overview
- NPI
- 1063164812
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- January 24, 2022
- Last Updated
- January 24, 2022
Practice Location
- 521 N Campus
- Ithaca, NY 14853-6007
Phone: (607) 255-7217
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1063164812
- Entity Type
- Individual
- Last Name
- Henry
- First Name
- Brian
- Mailing Street Address
- 521 N Campus
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-6007
- Mailing Country
- US
- Mailing Phone
- (607) 255-7217
- Practice Street Address
- 521 N Campus
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-6007
- Practice Country
- US
- Practice Phone
- (607) 255-7217
- Enumeration Date
- January 24, 2022
- Last Updated
- January 24, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)