National Provider Identifier

Madelaine Baco, DPT

Madelaine Baco, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 873-9154.

NPI 1174100416Kenmore, NYPhysical Therapist

Profile Overview

NPI
1174100416
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 24, 2021
Last Updated
March 31, 2021

Practice Location

  • 2438 Elmwood Ave
  • Kenmore, NY 14217-2244

Phone: (716) 873-9154

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1174100416
Entity Type
Individual
Last Name
Baco
First Name
Madelaine
Credential
DPT
Mailing Street Address
2438 Elmwood Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2244
Mailing Country
US
Mailing Phone
(716) 873-9154
Mailing Fax
(716) 875-3796
Practice Street Address
2438 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2244
Practice Country
US
Practice Phone
(716) 873-9154
Practice Fax
(716) 875-3796
Enumeration Date
March 24, 2021
Last Updated
March 31, 2021
Sex
Female
Sole Proprietor
No
Certification Date
March 31, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)