National Provider Identifier
Michael Grundtisch
Michael Grundtisch is listed in the NPPES registry with a primary specialty of Physical Therapist in Hamburg, NY and a listed phone number of (716) 648-1389.
Profile Overview
- NPI
- 1164905584
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 11, 2018
- Last Updated
- September 11, 2018
Practice Location
- 5284 Briercliff Drive
- Hamburg, NY 14075
Phone: (716) 648-1389
Mailing Address
- 5284 Briercliff Dr
- Hamburg, NY 14075-3438
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1164905584
- Entity Type
- Individual
- Last Name
- Grundtisch
- First Name
- Michael
- Mailing Street Address
- 5284 Briercliff Dr
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-3438
- Mailing Country
- US
- Practice Street Address
- 5284 Briercliff Drive
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075
- Practice Country
- US
- Practice Phone
- (716) 648-1389
- Enumeration Date
- September 11, 2018
- Last Updated
- September 11, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)