National Provider Identifier

Brian Thomas Lee, PT

Brian Thomas Lee, PT is listed in the NPPES registry with a primary specialty of Sports Physical Therapist in Ithaca, NY and a listed phone number of (607) 252-3500.

NPI 1376866269Ithaca, NYSports Physical Therapist

Profile Overview

NPI
1376866269
Provider Type
Individual
Primary Specialty
Sports Physical Therapist
Enumeration Date
March 05, 2010
Last Updated
March 05, 2010

Practice Location

  • 310 Taughannock Blvd
  • Ithaca, NY 14850-3251

Phone: (607) 252-3500

Specialties

  • Sports Physical Therapist (2251S0007X)
Full Record
NPI
1376866269
Entity Type
Individual
Last Name
Lee
First Name
Brian
Middle Name
Thomas
Credential
PT
Mailing Street Address
310 Taughannock Blvd
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3251
Mailing Country
US
Mailing Phone
(607) 252-3500
Mailing Fax
(607) 252-3505
Practice Street Address
310 Taughannock Blvd
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3251
Practice Country
US
Practice Phone
(607) 252-3500
Practice Fax
(607) 252-3505
Enumeration Date
March 05, 2010
Last Updated
March 05, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Sports Physical Therapist (2251S0007X)
Other Identifiers
00332729 (NY)