National Provider Identifier
Michelle B Fax, PTA
Michelle B Fax, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Williamsville, NY and a listed phone number of (716) 632-9200.
Profile Overview
- NPI
- 1366305070
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- December 09, 2025
- Last Updated
- December 09, 2025
Practice Location
- 192 Park Club Ln
- Williamsville, NY 14221-5270
Phone: (716) 632-9200
Mailing Address
- 8929 Gaskin RD
- Clarence, NY 14031-1412
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1366305070
- Entity Type
- Individual
- Last Name
- Fax
- First Name
- Michelle
- Middle Name
- B
- Credential
- PTA
- Mailing Street Address
- 8929 Gaskin RD
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-1412
- Mailing Country
- US
- Mailing Phone
- (716) 632-9200
- Practice Street Address
- 192 Park Club Ln
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5270
- Practice Country
- US
- Practice Phone
- (716) 632-9200
- Enumeration Date
- December 09, 2025
- Last Updated
- December 09, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)