National Provider Identifier
Madison Kathryn Gluck, PT, DPT
Madison Kathryn Gluck, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1467092452
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 08, 2020
- Last Updated
- March 07, 2021
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1383
Phone: (607) 274-4011
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1467092452
- Entity Type
- Individual
- Last Name
- Gluck
- First Name
- Madison
- Middle Name
- Kathryn
- Credential
- PT, DPT
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1383
- Mailing Country
- US
- Mailing Phone
- (607) 274-4011
- Mailing Fax
- (607) 795-8017
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1383
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- January 08, 2020
- Last Updated
- March 07, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)