National Provider Identifier

Tristan Colby

Tristan Colby is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 282-2888.

NPI 1174238521Buffalo, NYPhysical Therapist

Profile Overview

NPI
1174238521
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 19, 2023
Last Updated
January 19, 2023

Practice Location

  • 1091 Main St
  • Buffalo, NY 14209-2305

Phone: (716) 282-2888

Mailing Address

  • 318 Zimmerman St Apt 9
  • North Tonawanda, NY 14120-4524

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1174238521
Entity Type
Individual
Last Name
Colby
First Name
Tristan
Mailing Street Address
318 Zimmerman St Apt 9
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4524
Mailing Country
US
Mailing Phone
(716) 867-5062
Practice Street Address
1091 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-2305
Practice Country
US
Practice Phone
(716) 282-2888
Practice Fax
(716) 285-1281
Enumeration Date
January 19, 2023
Last Updated
January 19, 2023
Sex
Male
Sole Proprietor
No
Certification Date
January 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)