National Provider Identifier
Evan Johnston, PTA
Evan Johnston, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Buffalo, NY and a listed phone number of (716) 332-4838.
Profile Overview
- NPI
- 1417704354
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- April 30, 2024
- Last Updated
- April 30, 2024
Practice Location
- 531 Virginia St
- Buffalo, NY 14202-1450
Phone: (716) 332-4838
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1417704354
- Entity Type
- Individual
- Last Name
- Johnston
- First Name
- Evan
- Credential
- PTA
- Mailing Street Address
- 531 Virginia St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1450
- Mailing Country
- US
- Mailing Phone
- (716) 332-4838
- Practice Street Address
- 531 Virginia St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1450
- Practice Country
- US
- Practice Phone
- (716) 332-4838
- Enumeration Date
- April 30, 2024
- Last Updated
- April 30, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)