National Provider Identifier

Kiley Austin, PT, DPT, LAT, ATC

Kiley Austin, PT, DPT, LAT, ATC is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 282-2888.

NPI 1376113605Buffalo, NYPhysical Therapist

Profile Overview

NPI
1376113605
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
June 29, 2021
Last Updated
September 05, 2024

Practice Location

  • 1091 Main St Unit 120
  • Buffalo, NY 14209-2305

Phone: (716) 282-2888

Mailing Address

  • 38 Ponderosa Ct
  • Orchard Park, NY 14127-2070

Specialties

  • Physical Therapist (225100000X)
  • Athletic Trainer (2255A2300X)
Full Record
NPI
1376113605
Entity Type
Individual
Last Name
Austin
First Name
Kiley
Credential
PT, DPT, LAT, ATC
Mailing Street Address
38 Ponderosa Ct
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2070
Mailing Country
US
Mailing Phone
(716) 410-2720
Practice Street Address
1091 Main St Unit 120
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-2305
Practice Country
US
Practice Phone
(716) 282-2888
Enumeration Date
June 29, 2021
Last Updated
September 05, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Athletic Trainer (2255A2300X)
Other Identifiers
22 (Respiratory, Rehabilitative & Restorative Service Providers)