National Provider Identifier

Melissa Bedford

Melissa Bedford is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Burt, NY and a listed phone number of (716) 417-3609.

NPI 1144765447Burt, NYPhysical Therapy Assistant

Profile Overview

NPI
1144765447
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
December 23, 2016
Last Updated
December 23, 2016

Practice Location

  • 5676 W Lake RD
  • Burt, NY 14028-9727

Phone: (716) 417-3609

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1144765447
Entity Type
Individual
Last Name
Bedford
First Name
Melissa
Mailing Street Address
5676 W Lake RD
Mailing City
Burt
Mailing State
NY
Mailing ZIP Code
14028-9727
Mailing Country
US
Mailing Phone
(716) 417-3609
Practice Street Address
5676 W Lake RD
Practice City
Burt
Practice State
NY
Practice ZIP Code
14028-9727
Practice Country
US
Practice Phone
(716) 417-3609
Enumeration Date
December 23, 2016
Last Updated
December 23, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)
Other Identifiers
005485-1 (NY, State License)