National Provider Identifier
Keith Brantley, PT
Keith Brantley, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Cheektowaga, NY and a listed phone number of (716) 505-5700.
Profile Overview
- NPI
- 1356670129
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 08, 2009
- Last Updated
- September 17, 2018
Practice Location
- 4635 Union RD
- Cheektowaga, NY 14225-1851
Phone: (716) 505-5700
Mailing Address
- 648 Evergreen Dr
- Tonawanda, NY 14150-4646
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1356670129
- Entity Type
- Individual
- Last Name
- Brantley
- First Name
- Keith
- Credential
- PT
- Mailing Street Address
- 648 Evergreen Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-4646
- Mailing Country
- US
- Mailing Phone
- (716) 570-9757
- Mailing Fax
- (716) 694-4090
- Practice Street Address
- 4635 Union RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-1851
- Practice Country
- US
- Practice Phone
- (716) 505-5700
- Enumeration Date
- December 08, 2009
- Last Updated
- September 17, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)