National Provider Identifier

Michelle Kozak, MSPT

Michelle Kozak, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Farmersville, NY and a listed phone number of (716) 676-5053.

NPI 1174900922Farmersville, NYPhysical Therapist

Profile Overview

NPI
1174900922
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
April 30, 2015
Last Updated
April 30, 2015

Practice Location

  • 1192 Elton RD
  • Farmersville, NY 14060-0193

Phone: (716) 676-5053

Mailing Address

  • PO Box 193
  • 1192 Elton RD
  • Farmersville, NY 14060-0193

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1174900922
Entity Type
Individual
Last Name
Kozak
First Name
Michelle
Credential
MSPT
Mailing Street Address
PO Box 193
Mailing Address Line 2
1192 Elton RD
Mailing City
Farmersville
Mailing State
NY
Mailing ZIP Code
14060-0193
Mailing Country
US
Mailing Phone
(716) 676-5053
Practice Street Address
1192 Elton RD
Practice City
Farmersville
Practice State
NY
Practice ZIP Code
14060-0193
Practice Country
US
Practice Phone
(716) 676-5053
Enumeration Date
April 30, 2015
Last Updated
April 30, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)