National Provider Identifier
Byron Waddell, DPT
Byron Waddell, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 910-2242.
Profile Overview
- NPI
- 1386492601
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 10, 2024
- Last Updated
- February 04, 2025
Practice Location
- 91 Erie Canal Dr Ste E
- Rochester, NY 14626-4603
Phone: (585) 910-2242
Mailing Address
- 289 Inglewood Dr
- Rochester, NY 14619-1439
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1386492601
- Entity Type
- Individual
- Last Name
- Waddell
- First Name
- Byron
- Credential
- DPT
- Mailing Street Address
- 289 Inglewood Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1439
- Mailing Country
- US
- Mailing Phone
- (585) 831-8377
- Practice Street Address
- 91 Erie Canal Dr Ste E
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4603
- Practice Country
- US
- Practice Phone
- (585) 910-2242
- Practice Fax
- (585) 869-5142
- Enumeration Date
- May 10, 2024
- Last Updated
- February 04, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)