National Provider Identifier

Ali Henderson, PTA

Ali Henderson, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Kenmore, NY and a listed phone number of (716) 871-1100.

NPI 1154165140Kenmore, NYPhysical Therapy Assistant

Profile Overview

NPI
1154165140
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
June 24, 2024
Last Updated
June 24, 2024

Practice Location

  • 1491 Sheridan Dr Ste 300
  • Kenmore, NY 14217-1234

Phone: (716) 871-1100

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1154165140
Entity Type
Individual
Last Name
Henderson
First Name
Ali
Credential
PTA
Mailing Street Address
1491 Sheridan Dr Ste 300
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1234
Mailing Country
US
Practice Street Address
1491 Sheridan Dr Ste 300
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1234
Practice Country
US
Practice Phone
(716) 871-1100
Enumeration Date
June 24, 2024
Last Updated
June 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
June 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)