National Provider Identifier
John Funk, PTA
John Funk, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Jamestown, NY and a listed phone number of (716) 665-1166.
Profile Overview
- NPI
- 1316315682
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- September 03, 2015
- Last Updated
- September 03, 2015
Practice Location
- 774 Fairmount Ave
- Jamestown, NY 14701
Phone: (716) 665-1166
Mailing Address
- 774 Fairmount Ave
- Jamestown, NY 14701-2609
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1316315682
- Entity Type
- Individual
- Last Name
- Funk
- First Name
- John
- Credential
- PTA
- Mailing Street Address
- 774 Fairmount Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2609
- Mailing Country
- US
- Mailing Phone
- (716) 665-1166
- Mailing Fax
- (866) 902-1160
- Practice Street Address
- 774 Fairmount Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701
- Practice Country
- US
- Practice Phone
- (716) 665-1166
- Practice Fax
- (866) 902-1160
- Enumeration Date
- September 03, 2015
- Last Updated
- September 03, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)