National Provider Identifier

Kiersten Anne Ryndak, PT

Kiersten Anne Ryndak, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lockport, NY and a listed phone number of (716) 201-1049.

NPI 1205310232Lockport, NYPhysical Therapist

Profile Overview

NPI
1205310232
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 14, 2018
Last Updated
September 14, 2018

Practice Location

  • 6000 Brockton Dr
  • Lockport, NY 14094-9273

Phone: (716) 201-1049

Mailing Address

  • 4871 Lower Mountain RD
  • Lockport, NY 14094-9742

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1205310232
Entity Type
Individual
Last Name
Ryndak
First Name
Kiersten
Middle Name
Anne
Name Prefix
Mrs.
Credential
PT
Provider Other Last Name
Maska
Provider Other First Name
Kiersten
Provider Other Middle Name
Anne
Provider Other Credential Text
PT
Provider Other Last Name Type Code
1
Mailing Street Address
4871 Lower Mountain RD
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-9742
Mailing Country
US
Mailing Phone
(716) 438-0091
Practice Street Address
6000 Brockton Dr
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-9273
Practice Country
US
Practice Phone
(716) 201-1049
Practice Fax
(716) 201-1156
Enumeration Date
September 14, 2018
Last Updated
September 14, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)