National Provider Identifier

Michele Lee Smith, PTA

Michele Lee Smith, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Hamburg, NY and a listed phone number of (716) 646-0048.

NPI 1184874315Hamburg, NYPhysical Therapy Assistant

Profile Overview

NPI
1184874315
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
September 24, 2008
Last Updated
May 03, 2016

Practice Location

  • 106 Pine St.
  • Hamburg, NY 14075

Phone: (716) 646-0048

Mailing Address

  • 4539 Soda Pkwy
  • Hamburg, NY 14075-1015

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1184874315
Entity Type
Individual
Last Name
Smith
First Name
Michele
Middle Name
Lee
Name Prefix
MS.
Credential
PTA
Provider Other Last Name
Rogers
Provider Other First Name
Michele
Provider Other Middle Name
Lee
Provider Other Name Prefix Text
Mrs.
Provider Other Last Name Type Code
1
Mailing Street Address
4539 Soda Pkwy
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-1015
Mailing Country
US
Mailing Phone
(716) 445-3958
Practice Street Address
106 Pine St.
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075
Practice Country
US
Practice Phone
(716) 646-0048
Enumeration Date
September 24, 2008
Last Updated
May 03, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)