National Provider Identifier

Carol Reichert

Carol Reichert is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1245648682Kenmore, NYPhysical Therapy Assistant

Profile Overview

NPI
1245648682
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
July 29, 2014
Last Updated
July 29, 2014

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1245648682
Entity Type
Individual
Last Name
Reichert
First Name
Carol
Provider Other Last Name
Mesi
Provider Other First Name
Carol
Provider Other Middle Name
Reichert
Provider Other Credential Text
PTA
Provider Other Last Name Type Code
5
Mailing Street Address
3767 Delaware Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1040
Mailing Country
US
Mailing Phone
(716) 874-6175
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
July 29, 2014
Last Updated
July 29, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)