National Provider Identifier

Mandy Noel Trickey, B.S.

Mandy Noel Trickey, B.S. is listed in the NPPES registry with a primary specialty of Physical Therapist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1275688376Victor, NYPhysical Therapist

Profile Overview

NPI
1275688376
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 25, 2007
Last Updated
March 04, 2020

Practice Location

  • 590 Fishers Station Dr
  • Suite 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1275688376
Entity Type
Individual
Last Name
Trickey
First Name
Mandy
Middle Name
Noel
Credential
B.S.
Mailing Street Address
590 Fishers Station Dr
Mailing Address Line 2
Suite 130
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9744
Mailing Country
US
Mailing Phone
(585) 924-7207
Mailing Fax
(585) 924-7049
Practice Street Address
590 Fishers Station Dr
Practice Address Line 2
Suite 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Practice Fax
(585) 924-7049
Enumeration Date
January 25, 2007
Last Updated
March 04, 2020
Sex
Female
Sole Proprietor
No
Certification Date
March 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
30-0213081 (NY, Tax Id)