National Provider Identifier

Myles Alexander Nicholas, PTA

Myles Alexander Nicholas, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Rochester, NY and a listed phone number of (585) 461-8842.

NPI 1437314028Rochester, NYPhysical Therapy Assistant

Profile Overview

NPI
1437314028
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
July 23, 2008
Last Updated
July 23, 2008

Practice Location

  • 620 Westfall RD
  • Rochester, NY 14620-4610

Phone: (585) 461-8842

Mailing Address

  • 649 Magee Ave
  • Rochester, NY 14613-1015

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1437314028
Entity Type
Individual
Last Name
Nicholas
First Name
Myles
Middle Name
Alexander
Name Prefix
Mr.
Credential
PTA
Mailing Street Address
649 Magee Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-1015
Mailing Country
US
Mailing Phone
(585) 647-6058
Practice Street Address
620 Westfall RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4610
Practice Country
US
Practice Phone
(585) 461-8842
Enumeration Date
July 23, 2008
Last Updated
July 23, 2008
Sex
Male
Sole Proprietor
No
Taxonomies
Physical Therapy Assistant (225200000X)