National Provider Identifier
Alycia Marie Yax, PTA
Alycia Marie Yax, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Grand Island, NY and a listed phone number of (716) 773-4323.
Profile Overview
- NPI
- 1306563952
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- October 25, 2022
- Last Updated
- October 25, 2022
Practice Location
- 1801 Grand Island Blvd
- Grand Island, NY 14072-2249
Phone: (716) 773-4323
Mailing Address
- 10789 Tinkham RD
- Darien Center, NY 14040-9757
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1306563952
- Entity Type
- Individual
- Last Name
- Yax
- First Name
- Alycia
- Middle Name
- Marie
- Credential
- PTA
- Mailing Street Address
- 10789 Tinkham RD
- Mailing City
- Darien Center
- Mailing State
- NY
- Mailing ZIP Code
- 14040-9757
- Mailing Country
- US
- Practice Street Address
- 1801 Grand Island Blvd
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072-2249
- Practice Country
- US
- Practice Phone
- (716) 773-4323
- Enumeration Date
- October 25, 2022
- Last Updated
- October 25, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 25, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)